A nurse is collecting data from a female patient who is postmenopausal.
What findings should the nurse identify as a risk factor for the development of osteoporosis?
Monthly vitamin B12 injections.
Long-term use of prednisone.
Congenital heart murmur.
History of kidney stones.
The Correct Answer is B
Choice A rationale
Monthly vitamin B12 injections are not a risk factor for the development of osteoporosis. Vitamin B12 is important for nerve function and the production of DNA and red blood cells, not bone health.
Choice B rationale
Long-term use of prednisone, a corticosteroid, can lead to osteoporosis. Prednisone can decrease the absorption of calcium in the gut and increase the loss of calcium in the kidneys, leading to bone loss and an increased risk of fractures.
Choice C rationale
A congenital heart murmur is not a risk factor for the development of osteoporosis. Heart murmurs are sounds during your heartbeat cycle made by turbulent blood in or near your heart, and they are not associated with bone health.
Choice D rationale
A history of kidney stones is not a risk factor for the development of osteoporosis. Kidney stones are hard deposits made of minerals and salts that form inside your kidneys, and they are not associated with bone health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Intermittent abdominal pain is not typically associated with total parenteral nutrition (TPN) or burn injuries.
Choice B rationale
Increased serum glucose levels can occur with TPN due to the high glucose content of the solution. This should be monitored closely, especially in patients with burns, who may have altered glucose metabolism.
Choice C rationale
Absent bowel sounds are not typically associated with TPN or burn injuries.
Choice D rationale
Decreased calcium levels are not typically associated with TPN or burn injuries.
Correct Answer is C
Explanation
Choice A rationale
Keeping unopened insulin vials in the freezer is not recommended. Freezing can disrupt the insulin molecule and affect its efficacy.
Choice B rationale
Planning to eat a snack 6 hours after insulin administration is not a standard recommendation. The timing of meals and snacks should be individualized based on the type of insulin, blood glucose levels, and lifestyle.
Choice C rationale
Storing opened insulin vials at room temperature for up to 4 weeks is a correct practice. Insulin stored at room temperature causes less discomfort on injection than cold insulin.
Choice D rationale
Warming the insulin vial to dissolve any crystals that develop is not a standard practice. Insulin should not be used if it appears cloudy or discolored.
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