A nurse in a health clinic is collecting data from an older adult patient.
Which piece of information in the patient’s history increases their risk for osteoporosis?
The patient enjoys a glass of red wine every evening.
The patient walks 3.2 km (2 mi) daily.
The patient is lactose intolerant.
The patient is a gardener.
The Correct Answer is C
Choice A rationale
Enjoying a glass of red wine every evening is not directly linked to an increased risk of osteoporosis. While excessive alcohol consumption can contribute to bone loss, moderate consumption (up to one drink per day for women and up to two drinks per day for men) does not appear to significantly affect bone mineral density.
Choice B rationale
Regular physical activity, such as walking, is actually beneficial for bone health. Weight-bearing exercises, including walking, can help increase bone density and reduce the risk of osteoporosis.
Choice C rationale
Lactose intolerance can increase the risk of osteoporosis. Individuals with lactose intolerance often avoid dairy products, which are a major source of dietary calcium. Calcium is essential for bone health, and inadequate calcium intake can lead to decreased bone density and an increased risk of osteoporosis.
Choice D rationale
Gardening is a form of physical activity, and like walking, it can help increase bone density and reduce the risk of osteoporosis. There is no evidence to suggest that gardening increases the risk of osteoporosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Limiting physical activity until bladder continence is achieved is not typically part of a bladder training program. Physical activity can actually help improve bladder control by strengthening the pelvic floor muscles.
Choice B rationale
Instructing the client to void at scheduled times throughout the day is a key component of bladder training. This helps retrain the bladder to hold urine for longer periods and reduces episodes of incontinence.
Choice C rationale
Instructing the client to void as soon as they feel the urge is not typically part of a bladder training program. The goal of bladder training is to gradually extend the time between voids.
Choice D rationale
Encouraging the client to contract the abdominal muscles when they experience the urge to void is not typically part of a bladder training program. This could potentially lead to more leakage.
Correct Answer is B
Explanation
Choice A rationale
Encouraging fluids with meals is not the best choice for a client who has HIV. While hydration is important, drinking fluids with meals can fill the stomach and decrease the client’s appetite, potentially leading to inadequate nutrient intake.
Choice B rationale
Offering small, frequent meals is a recommended intervention for a client who has HIV. This approach can help to maximize nutrient intake and manage symptoms such as nausea and early satiety. This is the correct choice.
Choice C rationale
While fresh fruits and vegetables are generally part of a healthy diet, they may not be appropriate for all clients with HIV. Some individuals may have difficulty digesting these foods, and others may be at risk of infection from uncooked produce.
Choice D rationale
Providing a diet of pureed foods is not a standard intervention for clients with HIV. This approach may be necessary for individuals with certain conditions or symptoms, but it is not applicable to all clients with HIV23.
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