The nurse is caring for an 8-year-old client with cerebral palsy and limited walking ability. The parents are very protective and perform most activities for the child. Which intervention is essential in promoting bone growth and reducing the risk of osteoporosis?

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A)The most effective way to prevent osteoporosis is to perform weight-bearing activities and exercise. The client has limited walking ability rather than complete paralysis, so with practice, help from parents, and the appropriate use of assistive devices, the child could learn to walk independently. This would help stimulate bone growth. The nurse can inform the client and parents about the importance of calcium and vitamin D in the diet without referral to a dietitian. The nurse may need to refer the client to a physical therapist, not an occupational therapist, to help teach the client to walk independently. Appropriate restraints may be required to prevent falls for clients with cerebral palsy who do not have adequate body control. However, use of restraints will not increase bone growth in these clients.
B)The most effective way to prevent osteoporosis is to perform weight-bearing activities and exercise. The client has limited walking ability rather than complete paralysis, so with practice, help from parents, and the appropriate use of assistive devices, the child could learn to walk independently. This would help stimulate bone growth. The nurse can inform the client and parents about the importance of calcium and vitamin D in the diet without referral to a dietitian. The nurse may need to refer the client to a physical therapist, not an occupational therapist, to help teach the client to walk independently. Appropriate restraints may be required to prevent falls for clients with cerebral palsy who do not have adequate body control. However, use of restraints will not increase bone growth in these clients.
C)The most effective way to prevent osteoporosis is to perform weight-bearing activities and exercise. The client has limited walking ability rather than complete paralysis, so with practice, help from parents, and the appropriate use of assistive devices, the child could learn to walk independently. This would help stimulate bone growth. The nurse can inform the client and parents about the importance of calcium and vitamin D in the diet without referral to a dietitian. The nurse may need to refer the client to a physical therapist, not an occupational therapist, to help teach the client to walk independently. Appropriate restraints may be required to prevent falls for clients with cerebral palsy who do not have adequate body control. However, use of restraints will not increase bone growth in these clients.
D)The most effective way to prevent osteoporosis is to perform weight-bearing activities and exercise. The client has limited walking ability rather than complete paralysis, so with practice, help from parents, and the appropriate use of assistive devices, the child could learn to walk independently. This would help stimulate bone growth. The nurse can inform the client and parents about the importance of calcium and vitamin D in the diet without referral to a dietitian. The nurse may need to refer the client to a physical therapist, not an occupational therapist, to help teach the client to walk independently. Appropriate restraints may be required to prevent falls for clients with cerebral palsy who do not have adequate body control. However, use of restraints will not increase bone growth in these clients.

The Nurse Is Caring for an 8-Year-Old Client with Cerebral