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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.

Choice B rationale

DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.

Choice C rationale

Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.

Choice D rationale

A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.

A. Physical therapist B. Recreational therapist C. Occupational therapist D. Speech therapist

Correct Answer is C

Explanation

Choice A rationale

A physical therapist focuses on improving a client’s movement, mobility, and function, and relieving pain. They may not specialize in helping clients with difficulties using utensils during meals.

Choice B rationale

A recreational therapist uses a variety of modalities, including arts and crafts, animals, sports, games, dance and movement, drama, music, and community outings to help maintain or improve a patient’s physical, social, and emotional well-being. However, they may not be the best fit for a client having difficulty using utensils during meals.

Choice C rationale

An occupational therapist specializes in helping people regain, develop, and build skills that are important for independent functioning, health, and well-being. They can provide strategies and make recommendations for adaptive equipment, such as specially designed utensils, to

help the client with Parkinson’s disease eat more independently. Therefore, referring the client to an occupational therapist would be the most beneficial.

Choice D rationale

A speech therapist specializes in the evaluation and treatment of communication disorders and swallowing disorders. While they could assist if the client had difficulties with swallowing, they may not be the best fit for a client having difficulty using utensils during meals.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a patient who has hypertension and a new prescription for propranolol. What findings should the nurse identify as a contraindication for taking propranolol?

Correct Answer is A

Explanation

A nurse is caring for a client with Parkinson’s disease who has difficulty using utensils during meals. Which interdisciplinary team member should the nurse recommend for a referral?

Correct Answer is C

Explanation

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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?