A nurse is collecting data on a client who has manifestations of osteoporosis. The nurse anticipates the provider will prescribe which of the following diagnostic tests?

CT scan of the hip

Long bone x-ray

Bone density scan

Serum calcium

Answer and Explanation

The Correct Answer is C

A. CT scan of the hip:
CT scans provide cross-sectional imaging but are not specific for assessing bone mass or diagnosing osteoporosis.

B. Long bone x-ray:
X-rays may only detect bone loss after significant demineralization has occurred (typically >30%), making them less sensitive for early osteoporosis.

C. Bone density scan:
A DEXA (dual-energy x-ray absorptiometry) scan is the gold standard for diagnosing osteoporosis as it measures bone mineral density accurately.

D. Serum calcium:
While calcium levels may be checked to rule out other conditions, they do not confirm osteoporosis, as calcium levels may remain normal.

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Correct Answer is B

Explanation

A. Social worker:
A social worker assists with psychosocial support and discharge planning, not physical function or adaptive equipment training.

B. Occupational therapist:
Occupational therapists help clients with activities of daily living and can recommend adaptive devices (e.g., large-handled utensils, plate guards) to aid in feeding and independence.

C. Speech pathologist:
Involved in swallowing or speech difficulties, not physical feeding limitations due to joint issues.

D. Registered dietitian:
Addresses nutritional needs, not functional challenges with feeding mechanics.

A. "You have many dangerously low blood sugar levels." B. "Your average blood sugar is high." C. "Your blood sugar is very unstable." D. "Your blood sugar is too high after meals.”

Correct Answer is B

Explanation

A. "You have many dangerously low blood sugar levels.":
A1C reflects chronic hyperglycemia, not hypoglycemia.

B. "Your average blood sugar is high.":
An A1C of 9% corresponds to an average glucose of ~212 mg/dL, which is above the recommended goal (usually <7% for diabetics).

C. "Your blood sugar is very unstable.":
A1C reflects average glucose over 2–3 months, not variability.

D. "Your blood sugar is too high after meals.”:
A1C measures overall average glucose, not postprandial levels specifically.

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A nurse is collecting data on a client who has manifestations of osteoporosis. The nurse anticipates the provider will prescribe which of the following diagnostic tests?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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