A nurse in a provider's office is caring for a client.

Exhibits

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.)

Lactose intolerant

Smoking history

Vitamin D level

Phosphorous level

Alcohol use

Activity level

Answer and Explanation

Correct Answer : C,F

A.   Not directly related to osteoporosis risk. Lactose intolerance does not inherently increase the risk of osteoporosis.
B.   No history of smoking was reported by the client.
C.   The total 25-hydroxy D level is below the normal range, indicating insufficient vitamin D, which can increase the risk of osteoporosis.
D.   Normal phosphorus levels are found in the client's diagnostic results.
E.   The client reported not drinking alcohol, which is not a risk factor for osteoporosis.
F.   The client's sedentary lifestyle and inability to adhere to the exercise program contribute to a higher risk of osteoporosis due to reduced bone strength from lack of physical activity.

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Correct Answer is A

Explanation

Rationale for A: Area rugs pose a significant tripping hazard for older adults, especially for those with osteoporosis who are at an increased risk for fractures if they fall. The nurse should intervene by advising the client to remove the area rug to prevent falls.

Rationale for B: Grab bars installed in the shower are a safety feature that helps prevent falls, especially for clients with mobility issues. This is a positive finding and does not require intervention.

Rationale for C: Storing prescriptions in a medication organizer helps the client keep track of their medications and prevents confusion, especially in older adults. This is an effective way to manage medications and does not need intervention.

Rationale for D: The hot water heater set to 47°C (117°F) is within the safe range to prevent burns while still providing sufficient warmth for bathing. This does not pose a risk to the client, and no intervention is needed.

A. Adjust the oxygen flow rate as needed to ease breathing. B. Antibiotic therapy should be taken for 10 days. C. Store the oxygen cylinder wrench with the oxygen tank. D. Ensure the oxygen delivery system is at least 8 feet from any heat source. E. Steroid medication should be taken in the morning. F. Antibiotic medication can be taken with or without food. G. The steroid dose will decrease each day.

Correct Answer is ["A","C"]

Explanation

A. Adjusting the oxygen flow rate helps maintain adequate oxygen levels, especially during exertion or increased dyspnea.
B. The antibiotics were discontinued on Day 4, so the duration of antibiotic therapy is not 10 days.
C. Storing the wrench with the oxygen tank ensures that it's readily available to adjust or replace the tank.
D. Placing the oxygen delivery system away from heat sources helps prevent potential fire hazards.
E. There is no specifications on the time to take steroid medications
F. The specific instructions for taking the antibiotics weren't provided in the scenario.
G. The scenario doesn't specify a decreasing dose regimen for the steroid medication.

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A nurse in a provider's office is caring for a client. Exhibits 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.)

Nursing Test Bank

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Explanation

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A nurse in a provider's office is caring for a client.

Exhibits

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.)