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 C

Explanation

A. Weighing once weekly might not be frequent enough for monitoring changes related to heart failure or medication effects.
B. The timing of hydrochlorothiazide administration isn't critical to safety considerations; it's typically taken in the morning due to its diuretic effect.
C. Leaving a light on in the bathroom at night can help prevent falls, a common concern in older adults, especially those with heart failure.
D. Taking a hot bath before bed might not contribute significantly to safety considerations related to heart failure or medication use.

A. "You should discuss these feelings with your provider." B. "Have you thought about harming yourself?" C. "Why did you stop taking your medication?" D. "Tell me more about your partner."

Correct Answer is B

Explanation

A. Advising to discuss with the provider doesn't address the immediate concern of potential harm.
B. Asking about thoughts of self-harm assesses the client's immediate safety.
C. Inquiring about medication discontinuation is important but not as urgent as addressing suicidal ideation.
D. While understanding the relationship is important, it's not the priority when a client expresses suicidal thoughts.

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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

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is B

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.)