Final answer:
The highest priority when providing care for an osteomalacia patient is to prevent fractures by focusing on bone mineralization and maintaining safe environments to reduce fall risk. This includes dietary changes and lifestyle modifications to manage the condition effectively.
Step-by-step explanation:
The highest priority nursing problem when planning care for a client with osteomalacia is the prevention of fractures due to softened bones. Osteomalacia is a condition that leads to the softening of bones because of defective bone mineralization, primarily due to a deficiency of vitamin D. This can result in increased bone fragility and susceptibility to fractures. Vitamin D is crucial for the absorption of calcium and phosphate, which are needed for proper bone mineralization. Dietary supplementation with vitamin D and ensuring adequate exposure to sunlight are essential strategies in the management and treatment of osteomalacia. Additionally, supporting the client to maintain a safe environment that minimizes the risk of falls is a vital part of the care plan.
Since osteomalacia results in the demineralization of bone, the focus should be on restoring proper mineral levels. Foods like egg, cod liver oil, and liver can help recover from the problem, as they are rich sources of vitamin D. Monitoring the client for signs of ongoing demineralization and providing education on diet and lifestyle changes that can help improve their condition are also important components of effective nursing care.