Question Ml is a 58 year old white retired nurse who had a total… Ml is a 58 ye
Question Ml is a 58 year old white retired nurse who had a total… Ml is a 58 year old white retired nurse who had a total hysterectomy and salpingo-oophorectomy for removal of benign ovarian cyst 7ur ago. She also has a history of seizures disorder since childhood and Addison disease.Subjective DataAcute, severe lumbar pain and tenderness that radiates to her right hip and lateral thigh after falling and landing on her buttocks last week Walking and bending increases pain Stress fracture in wrist 5 months agoReports no noticeable loss of height Maternal history of osteoporosis Taking corticosteroids and mineralocorticosteroid for the past 6years for Addison disease Talking phenytoin (Dilantin) every evening Dislike dairy products Objective Data5 ft 7in tall, 110 lbDiagnostic Studies Test show decreased bone mineral density at spine and hipLumber spine radiographs reveal a slightly displaced L4 compression fracture Normal serum calcium, phosphorus and alkaline phosphates levels Collaborative CareL4 VertebroplastyThoracic-lumbar-sacral orthodox (TLSO) brace postoperatively .Ibandronate (Boniva) 150 mg/mo P.O.Calcium supplements 1500 mg/day P.O.High-calcium dietReduce alcohol intakeRegular low-impact weight bearing exercise program Questions 1) What factors increase M.L”s risk for osteoporosis?2) Why does walking and bending increase M. L’s pain?3) What is the purpose of the TLSO brace prescribed for M.L?4) What are the priority teaching needs for M.L?5) Which of the following nursing personnel should be responsible for teaching M.L. related to her osteoporosis and new medication. RN, LPN/LVN, UAP?6) How might you assist M.L in increasing her intake of calcium?7) Why would regular exercise be important for M.L?8) Based on the assessment data presented, what are the priority nursing diagnosis? Are there any collaborative problems?9) M.L asks you why taking corticosteroids increases her risk for developing osteoporosis. How would you respond to her Health Science Science Nursing NURS 206 Share QuestionEmailCopy link Comments (0)
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