A client with osteoporosis is prescribed medication to manage the condition.
What is the nurse's primary responsibility when administering these medications?
Monitor the patient's blood pressure.
Assess for signs of an allergic reaction.
Administer the medication with a full meal.
Monitor for side effects related to the medication.
The Correct Answer is D
"Monitor the patient's blood pressure." Monitoring blood pressure is not the primary responsibility when administering medication for osteoporosis.
While some osteoporosis medications may have potential side effects, blood pressure monitoring is not typically a specific requirement for these medications.
Choice B rationale:
"Assess for signs of an allergic reaction." Although allergic reactions should always be considered when administering medications, they are not the primary concern when administering osteoporosis medications.
Allergic reactions are generally rare, and other side effects related to the medication's effects on bone health are more critical to monitor.
Choice C rationale:
"Administer the medication with a full meal." While taking some osteoporosis medications with a meal may be recommended to enhance absorption or reduce gastrointestinal side effects, it is not the primary responsibility of the nurse.
Monitoring for side effects and ensuring proper administration and patient education are more critical aspects of medication management.
Choice D rationale:
"Monitor for side effects related to the medication." This statement is the correct answer.
The nurse's primary responsibility when administering osteoporosis medications is to monitor the patient for any potential side effects or adverse reactions related to the medication.
Osteoporosis medications can have specific side effects, such as gastrointestinal issues or musculoskeletal pain, which need to be assessed and managed appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Kyphosis is the most likely nursing assessment finding consistent with the client's complaints.
Kyphosis is an abnormal curvature of the spine that causes a forward rounding of the back.
It is commonly associated with osteoporosis in older adults, especially postmenopausal women.
As bone density decreases due to osteoporosis, the vertebrae become more susceptible to compression fractures, which can lead to the characteristic hunched posture seen in kyphosis.
This abnormal curvature can cause back pain and a noticeable loss of height, aligning with the client's complaints.
Choice B rationale:
Joint stiffness is less likely to be the primary finding in this case.
While osteoporosis can lead to joint discomfort and stiffness, it is not the primary cause of the client's symptoms.
The client's complaint of back pain and loss of height is more indicative of a spinal issue such as kyphosis.
Choice C rationale:
Muscle weakness is also less likely to be the primary finding in this case.
While muscle weakness can contribute to posture changes and back pain, it is often a secondary effect of conditions like osteoporosis.
The client's primary concern is the change in height and persistent back pain, which are better explained by kyphosis.
Choice D rationale:
Decreased appetite is unrelated to the client's musculoskeletal complaints.
It is not a typical symptom of osteoporosis or kyphosis.
Therefore, it is not the most likely nursing assessment finding consistent with the client's complaints.
Correct Answer is C
Explanation
"You should engage in high-impact exercises to strengthen your bones." While weight-bearing exercises are beneficial for bone health, high-impact exercises may not be suitable for all individuals with osteoporosis.
High-impact exercises can increase the risk of fractures in some cases.
Therefore, it is essential to tailor exercise recommendations to the individual's specific needs and limitations.
Choice B rationale:
"Avoid any physical activity to prevent the risk of falls." This statement is incorrect.
Encouraging complete avoidance of physical activity is not appropriate.
Physical activity, including weight-bearing exercises, can help maintain bone density and improve overall health.
However, individuals with osteoporosis should engage in safe and appropriate activities to reduce the risk of falls and fractures.
Choice C rationale:
"Encourage weight-bearing exercises and physical activity." This statement is the correct answer.
Weight-bearing exercises, such as walking and strength training, can help strengthen bones and reduce the risk of fractures in individuals with osteoporosis.
Physical activity is an essential component of osteoporosis management when done safely and under guidance.
Choice D rationale:
"Rest and immobility are essential to prevent fractures." This statement is incorrect.
Rest and immobility can lead to muscle weakness and further bone loss in individuals with osteoporosis.
Encouraging mobility and appropriate physical activity is essential for maintaining bone health.
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