Which intervention should be implemented to help prevent complications secondary to osteoporosis in a long-term care resident?

Correct Answer: D

Rationale: The correct answer is D: Provide nighttime lights in the room. This intervention is important in preventing complications secondary to osteoporosis as it helps reduce the risk of falls and fractures during nighttime bathroom visits. Darkness can increase the risk of falls, especially in elderly individuals with osteoporosis. Keeping the room well-lit at night can improve visibility and safety, reducing the chances of accidents. A: Keeping the bed in a high position does not directly address the risk of falls related to osteoporosis. B: Passive range-of-motion exercises focus on mobility and muscle strength but do not directly address fall prevention. C: Turning the client every two hours is important for preventing pressure ulcers but does not specifically target osteoporosis-related complications.

Correct Answer: C

Rationale: The correct answer is C: Check the client's pulses distally and assess the toes. This is the priority intervention because it assesses neurovascular status post-arthroscopy, detecting any potential complications like impaired circulation. Checking pulses and toe assessment are crucial to prevent ischemia and ensure proper blood flow to the extremity. Encouraging range-of-motion exercises (A) is important but not the priority immediately post-surgery. Monitoring urine output and color (B) is important for hydration status but not as critical as neurovascular assessment. Monitoring vital signs (D) is also important but does not specifically address the risk of impaired circulation post-arthroscopy.

Correct Answer: D

Rationale: The correct answer is D. Osteoporosis is more common in older individuals, especially postmenopausal women due to decreased estrogen levels. Smoking can lead to decreased bone density. Sedentary lifestyle also contributes to bone loss. Therefore, a sedentary 65-year-old woman who smokes cigarettes is at the highest risk. A: A 25-year-old woman who runs - Running is actually beneficial for bone health, so this individual is not at the greatest risk. B: A 36-year-old man who has asthma - Asthma does not directly increase the risk of osteoporosis compared to the other factors mentioned. C: A 70-year-old man who consumes excess alcohol - While excessive alcohol consumption can impact bone health, it is not as strong a risk factor as smoking and sedentary lifestyle.

Correct Answer: B

Rationale: The correct answer is B because participation in self-care activities indicates effective pain management and adaptation to pain. Engaging in self-care activities suggests that the client is able to maintain independence despite the pain, which is a positive outcome. Choices A, C, and D are incorrect. A decrease in medication use may not always be appropriate for acute pain management. Relaxation techniques can help manage pain but may not be the primary expected outcome. Repeating instructions about medications does not directly relate to the expected outcome of managing acute pain.

Correct Answer: C

Rationale: The correct answer is C: Chronic exposure to loud noises. Prolonged exposure to loud noises can damage the sensitive structures in the inner ear leading to hearing loss. The nurse should discuss this risk factor with the client to raise awareness on the importance of protecting their hearing. Incorrect Choices: A: Multiple piercings in the auricle - Piercings do not directly cause hearing loss. B: Use of nephrotoxic medications - Nephrotoxic medications can damage the kidneys, not the ears. D: Taking oral antihistamines daily - Antihistamines are not known to cause hearing loss.