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.)
Alcohol use
Vitamin D level
Lactose intolerant
Activity level
Smoking history
Phosphorous level
Correct Answer : B,D
B. Vitamin D level- Low levels of vitamin D, as indicated by the client's 25-hydroxy D (vitamin D + D) levels below the reference range (24 ng/dL initially and 15 ng/dL at the 6-month follow-up), can contribute to osteoporosis. Vitamin D is essential for calcium absorption and bone health.
D. Activity level- The client reports a sedentary lifestyle and inability to exercise regularly. Lack of weight-bearing exercise can increase the risk of osteoporosis as weight-bearing exercises help maintain bone density.
A. Alcohol use- The client denies drinking alcohol, so alcohol use is not a risk factor in this case.
C. Lactose intolerant- Lactose intolerance does not directly increase the risk of osteoporosis. However, if the client avoids dairy products due to lactose intolerance, they may have lower calcium intake, which can affect bone health.
E. Smoking history- The client is described as a nonsmoker, so smoking is not a risk factor for osteoporosis in this case. Smoking is associated with decreased bone density and increased fracture risk.
F. Phosphorus level- Phosphorus levels within the normal range (3.4 mg/dL initially and 3.2 mg/dL at the 6-month follow-up) do not directly indicate increased risk for osteoporosis. However, phosphorus, along with calcium, is important for bone health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Providing the client with a night light helps improve visibility during nighttime ambulation, reducing the risk of falls. Many falls in healthcare settings occur during nighttime when visibility is reduced.
A. Keeping the client's room temperature at 18°C (64.4°F) is not directly related to fall prevention. While maintaining a comfortable room temperature is important for the client's overall comfort, it does not specifically address fall risk.
B. Placing the bedside table 0.9 m (3 feet) away from the bed is not directly related to fall prevention. While organizing the client's environment to ensure accessibility and safety is important, the distance of the bedside table from the bed is less critical compared to other fall prevention measures.
D. Elevating full-length side rails on both sides of the client's bed is not recommended as a fall prevention measure. The use of side rails can increase the risk of falls and should be used judiciously, if at all, based on the client's individual risk assessment. Full-length side rails can create entrapment hazards and may not effectively prevent falls.
Correct Answer is B
Explanation
Rationale
B. Weight is a key component of the anthropometric assessment as it provides important information about the client's nutritional status, growth patterns, and overall health. Changes in weight can indicate changes in body composition, hydration status, or underlying health conditions.
A. Respiratory rate is not part of the anthropometric assessment
C. level of orientation is not part of the anthropometric assessment
D. current pain level is not part of the anthropometric assessment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.