A nurse in a clinic is caring for a client who is postmenopausal and has risk factors for osteoporosis. The nurse anticipates the client will be prescribed which of the following medications?
Raloxifene hydrochloride
Levothyroxine
Escitalopram oxalate
Calcitonin
The Correct Answer is A
A. Raloxifene hydrochloride is a selective estrogen receptor modulator (SERM) that is used for the prevention and treatment of osteoporosis in postmenopausal women. It helps to prevent bone loss and reduce the risk of fractures by acting similarly to estrogen in some tissues and antagonizing estrogen in others.
B. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism, not osteoporosis.
C. Escitalopram oxalate is an antidepressant medication used to treat depression and anxiety disorders, not osteoporosis.
D. Calcitonin is a hormone involved in calcium regulation, and calcitonin nasal spray is sometimes used in the treatment of osteoporosis, but it is not typically the first-line treatment option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Multiple hospitalizations for COPD are not a direct contraindication for HRT, although respiratory health should be monitored.
B. Concurrent treatment for GERD is not a contraindication for HRT.
C. History of dermatitis does not contraindicate the use of HRT.
D. History of breast cancer is a significant contraindication for HRT due to the potential for hormone therapy to stimulate the growth of hormone-sensitive cancer cells.
Correct Answer is C
Explanation
A. Creation of a "sterile" environment with laminar airflow rooms is not practical or necessary for preventing transmission of pathogens to patients with depressed bone marrow function. It may also not be feasible in many healthcare settings.
B. Placement of patients in private rooms with HEPA filtration may help reduce airborne pathogens but is not the most important measure for preventing transmission of harmful pathogens to patients with depressed bone marrow function.
C. Strict and frequent handwashing by all people having contact with the patient is the most important measure for preventing transmission of harmful pathogens, including bacteria and viruses, to immunocompromised patients. Hand hygiene is a fundamental infection control measure that significantly reduces the risk of healthcare-associated infections.
D. Administration of prophylactic antibiotics may be part of the treatment plan for some patients with depressed bone marrow function to prevent bacterial infections, but it is not the most important measure for preventing transmission of harmful pathogens. Hand hygiene is more effective in reducing the transmission of a wide range of pathogens, including bacteria, viruses, and fungi.
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