A nurse in a provider's office is caring for a client.
Exhibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements.
Client is a nonsmoker.
Client does not drink alcohol.
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Phosphorous level
Vitamin D level
Smoking history
Alcohol use
Activity level
Lactose intolerant
Correct Answer : B,E,F
A. Phosphorous level: While phosphorus is important for bone health, deficiencies are rare in individuals with a normal diet and are not typically associated with osteoporosis.
B. Vitamin D level: Vitamin D is essential for calcium absorption and bone health. Inadequate vitamin D levels can lead to decreased calcium absorption and increase the risk of osteoporosis.
C. Smoking history: Smoking is a risk factor for osteoporosis due to its adverse effects on bone metabolism, but the client is a nonsmoker, so this finding does not apply.
D. Alcohol use: Excessive alcohol consumption is a risk factor for osteoporosis, but the client does not drink alcohol, so this finding does not apply.
E. Activity level: A sedentary lifestyle is a risk factor for osteoporosis. Weight-bearing exercises and physical activity help maintain bone density and strength, reducing the risk of osteoporosis.
F. Lactose intolerant: Lactose intolerance may lead to decreased intake of dairy products, which are a significant source of calcium. Inadequate calcium intake can contribute to decreased bone density and increase the risk of osteoporosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
. Combine the medications with the formula in the feeding bag:
Combining medications with the enteral feeding formula in the feeding bag is not recommended as it may alter the medication's efficacy or stability. Additionally, mixing medications with the feeding formula could result in interactions between the medications or between the medications and the formula components.
B. Dilute each crushed medication with warm water:
While diluting crushed medications with warm water may facilitate administration through the NG tube, it is not always necessary or appropriate for all medications. Dilution should be done according to specific medication guidelines or manufacturer recommendations. Some medications may not require dilution, while others may require a specific diluent or method of administration.
C. Flush the NG tube with 5 mL of sterile water for irrigation prior to administration.
Flushing the NG tube with 30-60ml sterile water for irrigation before administering medications helps ensure that the tube is clear of any residual feeding formula or medication residue. This step helps prevent potential clogging of the tube and ensures that the medications are delivered effectively to the client's stomach or intestines.
D. Mix the medications together in a single syringe:
Mixing medications together in a single syringe may increase the risk of drug interactions or chemical incompatibilities between the medications. Each medication should be administered separately to ensure accurate dosing and prevent potential interactions. Administering medications separately also allows for better monitoring of the client's response to each medication.
Correct Answer is A
Explanation
A. Honey: In Traditional Chinese Medicine (TCM), yin and yang are concepts used to describe the balance between opposing forces in the body. Yin represents coolness, darkness, and calmness, while yang represents warmth, brightness, and activity. In TCM, headaches may be viewed as an imbalance between yin and yang energies.
Given this perspective, honey is considered a yin-nourishing food in TCM. It is believed to have cooling properties that can help balance excess yang energy in the body. Therefore, the client who believes in the concept of yin and yang may choose honey to treat their headache, aiming to restore balance by reducing yang energy.
B. Fresh vegetables: While fresh vegetables are generally considered healthy and nutritious, they do not have specific associations with yin or yang energies in TCM. Therefore, the client may not necessarily choose fresh vegetables to address a headache based on the yin-yang concept.
C. Chicken: Chicken is a neutral food in TCM and is not specifically associated with either yin or yang energies. Therefore, the client may not necessarily choose chicken to address a headache based on the yin-yang concept.
D. Chili peppers: Chili peppers are considered yang-warming foods in TCM due to their spicy nature. They are believed to increase yang energy in the body. Therefore, the client who believes in the concept of yin and yang may not choose chili peppers to treat their headache, as it may exacerbate yang energy rather than balance it.
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