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. Obtaining a random blood glucose daily is important for monitoring glucose levels but might not be specifically related to the introduction of PN in this context.
B. Changing the PN infusion bag every 48 hours might not be universally applicable; the frequency of changing PN bags depends on institutional policies and the stability of the solution being administered.
C. PN with high concentrations of dextrose and fat emulsions typically requires a central venous line for administration to prevent peripheral vein irritation or damage.
D. Administering PN and fat emulsion separately might not be practical as PN usually includes all necessary components in a single infusion.

A. Two-point alternating gait B. Four-point alternating gait C. Swing-through gait D. Three-point gait

Correct Answer is D

Explanation

A. Two-point alternating gait involves partial weight-bearing on both legs and wouldn’t suit a client who can bear weight on only one leg.
B. Four-point alternating gait involves walking by moving one crutch followed by the opposite leg and is not suitable for a person who can bear weight on just one leg.
C. Swing-through gait involves swinging both legs forward between the crutches, typically used for individuals who have little or no weight-bearing ability.
D. Three-point gait involves bearing weight on one leg while using crutches and moving the other leg forward, the most appropriate gait for someone who can bear weight on one leg.

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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 planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

Correct Answer is C

Explanation

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

Correct Answer is D

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.)