A nurse in a clinic is reinforcing teaching to a client who is postmenopausal about the prevention of osteoporosis. Which of the following statements by the client requires clarification of the teaching?

"I will eat a moderate amount of high-fiber foods."

"I will decrease the amount of sodium in my diet."

"I will decrease the number of cups of coffee I drink daily."

"I will include vitamin E rich foods in my diet."

Answer and Explanation

The Correct Answer is D

A. A moderate intake of high-fiber foods is appropriate because excessive fiber can interfere with calcium absorption, but moderation supports overall health.
B. Reducing sodium intake helps decrease calcium loss through the kidneys, which is beneficial for osteoporosis prevention.
C. Limiting caffeine is recommended because excessive caffeine increases calcium excretion and reduces calcium absorption.
D. Vitamin E is not a nutrient associated with bone health. The focus should be on calcium and vitamin D, not vitamin E, so this statement requires clarification.

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Correct Answer is C

Explanation

A. CT scans provide detailed imaging but are not the standard for diagnosing osteoporosis.
B. Long bone x-rays can show fractures but are not sensitive enough to detect early bone density loss.
C. Dual-energy x-ray absorptiometry (DEXA) is the preferred and most accurate test for measuring bone mineral density and diagnosing osteoporosis.
D. Serum calcium levels do not reliably indicate bone density or osteoporosis, as calcium can be normal even with significant bone loss.

A. Lean the client toward the wall. B. Maintain a narrow base of support. C. Provide support by holding the client's arm. D. Lower the client to the floor.

Correct Answer is D

Explanation

A. Leaning the client toward the wall does not provide safe support and may increase injury risk.
B. A narrow base of support decreases stability; the nurse should maintain a wide base of support for balance.
C. Holding the client’s arm is unsafe because it does not provide enough support and can cause joint injury.
D. The safest action is to lower the client to the floor, protecting both the nurse and the client from injury by guiding the fall in a controlled manner.

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A nurse in a clinic is reinforcing teaching to a client who is postmenopausal about the prevention of osteoporosis. Which of the following statements by the client requires clarification of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has manifestations of osteoporosis. The nurse anticipates the provider will prescribe which of the following diagnostic tests?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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