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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Keeping the client's heels off the mattress helps prevent pressure injuries, particularly heel ulcers, which are common in clients who are immobile or on bed rest. Pressure on the heels can impede blood flow and lead to tissue damage, especially if the client remains in the same position for an extended period.
B.Repositioning the client is also important for preventing pressure injuries, as it helps redistribute pressure and relieve pressure on vulnerable areas of the body. However, it should be done more frequently.
C. Raising the head of the client's bed to a 60° angle is not directly related to preventing pressure injuries. While elevating the head of the bed may provide comfort and facilitate breathing for some clients, it does not address pressure distribution or protection of bony prominences.
D. Massaging the client's bony prominences is contraindicated for preventing pressure injuries. Massaging bony prominences can increase friction and shear forces on the skin, which may actually exacerbate the risk of pressure injury development.

A. "Perform water aerobics three times each week." B. "Walk for 30 minutes three to five times each week." C. "Increase intake of vitamin B12" D. "Maintain a lean body mass."

Correct Answer is B

Explanation

B. Regular weight-bearing exercises, such as walking, are beneficial for maintaining bone density and strength, which can help prevent osteoporosis. Walking for 30 minutes three to five times per week is a suitable recommendation because it provides consistent moderate-intensity exercise that stimulates bone remodeling and strengthens bones.
A. Water aerobics is a low-impact exercise that is beneficial for overall health and fitness, but it may not provide the same bone-strengthening benefits as weight-bearing exercises like walking.
C. Increasing intake of vitamin B12 is not directly related to osteoporosis prevention. While vitamin B12 is important for overall health and may play a role in bone metabolism, its supplementation is not a primary recommendation for osteoporosis prevention.
D. Maintaining a lean body mass is important for overall health, but it may not directly prevent osteoporosis. While excessive body weight can increase the load on bones and promote bone density, maintaining a healthy body weight through a balanced diet and regular exercise is more important than specifically focusing on lean body mass for osteoporosis prevention.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?

Correct Answer is A

Explanation

A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?

Correct Answer is B

Explanation

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.)

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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.)