A nurse is assessing an older adult client who has osteoporosis.
Which of the following spinal deformities should the nurse expect to find in this client?

Kyphosis.

Ankylosis.

Scoliosis.

Lordosis.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Kyphosis, an exaggerated outward curvature of the thoracic spine, is a common spinal deformity in older adults with osteoporosis. This occurs due to vertebral compression fractures, where the weakened bone structure collapses anteriorly, leading to a "hunchback" appearance and loss of height, affecting posture and balance.

Choice B rationale

Ankylosis refers to the stiffening and immobility of a joint due to fusion of bones. While joint issues can occur in older adults, ankylosis is not a direct spinal deformity associated with osteoporosis; rather, it is more commonly linked to inflammatory conditions like ankylosing spondylitis or severe osteoarthritis.

Choice C rationale

Scoliosis is a lateral curvature of the spine, often appearing as an S or C shape. While it can occur in older adults, it is not primarily a direct consequence or expected spinal deformity of osteoporosis. Adult degenerative scoliosis is often due to disc degeneration and facet joint arthritis, not solely bone demineralization.

Choice D rationale

Lordosis is an excessive inward curvature of the lumbar spine. While some degree of lumbar lordosis is normal, hyperlordosis can occur, but it is not the characteristic spinal deformity expected in osteoporosis. Osteoporosis typically leads to kyphosis due to anterior wedging of vertebral bodies, not increased lumbar curvature.

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Correct Answer is ["0.5"]

Explanation

Step 1 is: Convert mcg to mg. 125 mcg = 0.125 mg.

Step 2 is: Calculate the number of tablets. 0.125 mg ÷ (0.25 mg/tablet) = 0.5 tablets. The nurse should administer 0.5 tablets per dose.

Correct Answer is ["100"]

Explanation

Step 1 is to calculate the flow rate in gtt/min. (100 mL ÷ 60 min) × 60 gtt/mL = 100 gtt/min. The nurse should set the IV flow rate to deliver 100 gtt/min.

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A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["100"]

Explanation

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A nurse is assessing an older adult client who has osteoporosis.
Which of the following spinal deformities should the nurse expect to find in this client?