A 68-year-old female patient has been prescribed omeprazole for chronic gastroesophageal reflux disease (GERD). She is concerned about her risk for bone loss. Which nursing intervention is most appropriate to minimize the risk of osteoporosis related to long-term omeprazole use?
Instruct the patient to avoid weight-bearing exercises to reduce fracture risk.
Encourage the patient to increase calcium and vitamin intake while taking omeprazole
Recommend stopping omeprazole after 16 weeks of treatment to prevent bone loss
Advise the patient to increase caffeine intake to stimulate bone formation.
The Correct Answer is B
A. Instruct the patient to avoid weight-bearing exercises to reduce fracture risk: Weight-bearing exercises help maintain bone density and reduce osteoporosis risk. Avoiding these activities can accelerate bone loss, especially in older adults, and is not recommended for patients concerned about osteoporosis.
B. Encourage the patient to increase calcium and vitamin D intake while taking omeprazole: Long-term proton pump inhibitor use can reduce calcium absorption, increasing the risk of osteoporosis and fractures. Adequate calcium and vitamin D intake supports bone health and helps counteract this risk while continuing necessary GERD treatment.
C. Recommend stopping omeprazole after 16 weeks of treatment to prevent bone loss: Discontinuing omeprazole without healthcare provider guidance may lead to uncontrolled GERD symptoms and complications. Treatment duration should be determined by the provider based on symptom control and risk-benefit assessment.
D. Advise the patient to increase caffeine intake to stimulate bone formation: High caffeine intake is associated with decreased calcium absorption and increased bone loss. Increasing caffeine would worsen osteoporosis risk rather than protect bone health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Complete blood count:A CBC can indicate infection through elevated white blood cell count, but it does not identify the specific organism or determine which antibiotic is effective. It provides general information rather than targeted guidance.
B. Urinalysis:A urinalysis evaluates urinary tract function and infections, not wound infections. It is unrelated to identifying the pathogen in a non-healing wound.
C. X-ray of the wound:An X-ray can assess for bone involvement or foreign bodies but does not identify the causative microorganism or guide antibiotic selection. Imaging is supportive, not diagnostic for pathogen type.
D. Wound culture and sensitivity:A wound culture identifies the specific organism causing the infection, and sensitivity testing determines which antibiotics will effectively treat it. This diagnostic is essential when a wound is not healing and the causative pathogen is unknown.
Correct Answer is B
Explanation
A. Regular monitoring of blood pressure: While levothyroxine can affect cardiovascular function, routine blood pressure monitoring is not the primary method for assessing therapeutic effectiveness in hypothyroidism. Blood pressure checks may be part of general health monitoring but are not specific to thyroid management.
B. Routine monitoring of thyroid-stimulating hormone (TSH) levels: TSH levels provide the most reliable indicator of thyroid hormone replacement adequacy. Regular TSH monitoring helps ensure the levothyroxine dose is therapeutic, preventing under- or overtreatment, which could lead to hypothyroid or hyperthyroid complications.
C. Frequent assessments of blood glucose levels: Levothyroxine does not directly affect glucose metabolism, so routine blood glucose monitoring is not necessary unless the patient has concurrent diabetes or risk factors. It is not a standard screening for hypothyroidism management.
D. Continuous monitoring of body temperature: Body temperature may be affected by thyroid hormone levels, but continuous monitoring is not practical or necessary. TSH and clinical assessment provide more accurate and actionable information regarding therapy effectiveness.
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