A nurse is educating a client with osteoporosis about dietary interventions to improve bone health. Which statement by the client indicates a need for further teaching?

I will include dairy products like milk and yogurt in my daily diet.

I will increase my intake of green leafy vegetables like spinach.

I will drink coffee throughout the day to boost my energy.

I will take a calcium supplement with my evening meal.

Answer and Explanation

The Correct Answer is C

Choice A reason: Dairy products like milk and yogurt are rich in calcium, essential for bone mineralization. Calcium supports osteoblast activity, strengthening bones and preventing osteoporosis progression, making this a correct dietary choice for bone health.
Choice B reason: Green leafy vegetables like spinach provide calcium and vitamin K, which supports bone matrix formation and mineralization. Including these in the diet is beneficial for osteoporosis, as they enhance bone density, indicating correct understanding.
Choice C reason: Excessive coffee intake increases urinary calcium excretion, reducing available calcium for bone formation. Caffeine also inhibits osteoblast activity, worsening bone loss in osteoporosis, indicating a misunderstanding of dietary impacts on bone health, requiring further teaching.
Choice D reason: Taking a calcium supplement with a meal enhances absorption, as stomach acid aids calcium ionization. This supports bone mineralization in osteoporosis, reflecting correct understanding of dietary supplementation to improve bone density and prevent fractures.

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Correct Answer is D

Explanation

Choice A reason: Washing the fixator frame may maintain hygiene but does not directly address the primary infection risk at pin sites, where skin breaks allow bacterial entry. Pin sites are more critical, as infections like osteomyelitis can develop from poor pin care.
Choice B reason: Releasing fixator tension disrupts the device’s stability, risking bone misalignment and delayed healing. It does not reduce infection risk and may increase tissue trauma, potentially creating more entry points for bacteria at the pin sites.
Choice C reason: Avoiding movement by holding the fixator prevents normal joint mobility, risking stiffness, but does not address infection risk. Pin sites remain the primary infection source, as bacteria can enter through skin breaks, requiring specific cleaning protocols.
Choice D reason: Regular pin care (every shift) with sterile technique (e.g., chlorhexidine) removes debris and bacteria from pin sites, reducing the risk of osteomyelitis. External fixators penetrate skin, creating infection-prone areas, making frequent, meticulous pin care the most effective intervention to prevent infection.

A. Skeletal traction will assist in realigning your fractured bone. B. This treatment will prevent future complications and back pain. C. Traction decreases muscle spasms that occur with a fracture. D. This type of traction minimizes damage as a result of fracture treatment.

Correct Answer is A

Explanation

Choice A reason: Skeletal traction uses pins or wires inserted into the bone to apply controlled force, aligning fractured bones (e.g., femur) to promote proper healing. This counteracts muscle pull, ensuring anatomical alignment and reducing the risk of malunion or deformity during the healing process.
Choice B reason: While traction may reduce some complications, its primary purpose is not preventing back pain or vague future issues. It focuses on immediate fracture alignment and stabilization, addressing the acute injury rather than long-term sequelae like chronic pain.
Choice C reason: Traction reduces muscle spasms by counteracting muscle contraction around the fracture, but this is a secondary benefit. The primary purpose is bone realignment, as spasms are a symptom of misalignment rather than the main issue addressed by traction.
Choice D reason: Minimizing damage from treatment is not the primary purpose of skeletal traction. While proper application prevents complications, the main goal is to align and stabilize the fracture to facilitate healing, not merely

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A nurse is educating a client with osteoporosis about dietary interventions to improve bone health. Which statement by the client indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse plans care for a client who has an external fixator on the lower leg. Which intervention would the nurse include in the plan of care to decrease the client’s risk for infection?

Correct Answer is D

Explanation

A nurse cares for a client placed in skeletal traction. The client asks, “What is the primary purpose of this type of traction?” How would the nurse respond?

Correct Answer is A

Explanation

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?

What does the nurse explain to parents of a child with febrile seizures?

An adolescent has just had a generalized seizure and collapsed in the school nurse’s office. When should the nurse call 911?

After teaching a client with a fractured humerus, the nurse assesses the client’s understanding. Which dietary choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture?

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What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)?

The nurse assesses a client after a total hip arthroplasty. The client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While a co-worker calls the surgeon, what action by the nurse is appropriate?

What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?