A nurse is assessing a female client who is at risk for osteoporosis. Which of the following recommendations should the nurse make?
"Supplement your diet with 400 micrograms of folic acid."
"Adhere to a low-protein diet."
"Add more leafy greens to your diet."
"Increase your dietary fiber intake."
The Correct Answer is C
A. "Supplement your diet with 400 micrograms of folic acid. Folic acid is essential for preventing neural tube defects in fetal development and plays a role in red blood cell formation and DNA synthesis. However, it is not directly associated with the prevention or treatment of osteoporosis.
B. "Adhere to a low-protein diet." A low-protein diet is not advisable for individuals at risk for osteoporosis. Adequate protein intake is necessary for bone matrix formation and maintenance of muscle mass, which supports skeletal strength. Extremely low protein can impair calcium absorption and negatively affect bone density, increasing fracture risk.
C. "Add more leafy greens to your diet." Leafy green vegetables such as kale, spinach, and broccoli are rich in calcium, magnesium, and vitamin K, all of which support bone health and help in maintaining bone density. These nutrients play a crucial role in bone remodeling and reducing the risk of fractures in individuals susceptible to osteoporosis.
D. "Increase your dietary fiber intake." While fiber is important for digestive health and reducing cholesterol, it does not have a significant direct effect on bone mineral density or osteoporosis prevention. Excessive fiber intake, especially from supplements, may even interfere with calcium absorption, making it less ideal for those at risk of osteoporosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1400"]
Explanation
Convert weight to kilograms.
Weight (kg) = 154 lb / 2.2 lb/kg
= 70 kg
Calculate current daily calories.
Current calories = 30 cal/kg/day × 70 kg
= 2100 cal
Calculate the calorie decrease.
Decrease = 10 cal/kg/day × 70 kg
= 700 cal
Calculate the new daily calorie intake.
New intake = 2100 cal - 700 cal
= 1400 cal
Correct Answer is ["A","B","C","D"]
Explanation
- Preschooler unable to bear weight on legs when walking: This is a concerning physical limitation in a child of this age and suggests a possible musculoskeletal or nutritional disorder. In vitamin D deficiency, it may indicate bone pain or weakness due to poor mineralization, requiring prompt evaluation and intervention.
- Preschooler refuses all dairy products: Dairy products are a primary source of dietary calcium and often fortified with vitamin D, both essential for healthy bone development. A prolonged lack of dairy in a young child's diet can lead to nutritional deficiencies, particularly if the overall diet is limited or unbalanced.
- Legs are bowed bilaterally: Bowed legs in a preschool-aged child are a classic sign of rickets, a condition resulting from vitamin D deficiency. This skeletal deformity reflects impaired bone development and mineralization and warrants immediate medical follow-up to prevent further complications.
- Vitamin D 5 ng/mL (25 to 80 ng/mL): This level is critically low and indicates a severe vitamin D deficiency. Such a deficiency impairs calcium absorption, leading to weakened bones and increasing the risk for rickets, fractures, and long-term skeletal issues if not corrected.
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