The nurse knows that which of the following clients is most at risk fo

The nurse knows that which of the following clients is most at risk for a bone fracture:

1. 44-year-old female with rheumatoid arthritis
2. 64-year-old male with Cushing’s disease
3. 53-year-old female with chronic alterations in renal function
4. 60-year-old male with cirrhosis of the liver

ANSWER

ANS: 2
The kidneys affect calcium and phosphate regulation by producing a substance that converts vitamin D into its active form. Clients with chronic alterations in kidney function do not make sufficient amounts of the active vitamin D. They are prone to develop renal bone disease result-ing from the demineralization of bone caused by impaired calcium absorption.