A nurse is reinforcing teaching with a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?
Take 250 mg of a calcium supplement each day.
Perform vigorous exercise at least 2 times per week.
Perform moderate-intensity exercise for 150 min per week.
Take 400 IU of vitamin D supplement each day.
The Correct Answer is C
A. While calcium supplementation is important for bone health, the recommended daily intake for adults at risk for osteoporosis is typically higher than 250 mg. The client may need a higher dose of calcium supplementation, along with other dietary sources of calcium.
B. While exercise is beneficial for bone health, vigorous exercise may not be suitable for all individuals, especially those at risk for osteoporosis who may have other health
concerns. Moderate-intensity exercise is generally recommended for bone health.
C. Performing moderate-intensity exercise for at least 150 minutes per week is
recommended for individuals at risk for osteoporosis. Weight-bearing and resistance exercises are particularly beneficial for improving bone density and strength.
D. Vitamin D supplementation is important for calcium absorption and bone health, but the recommended daily intake for adults at risk for osteoporosis is typically higher than 400 IU. Many healthcare providers recommend higher doses of vitamin D
supplementation, especially for individuals with low sun exposure or other risk factors for deficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client is at risk for developing pulmonary embolism due to possible deep vein thrombosis. The rationale for this answer is based on the clinical findings noted in the nurse's notes. The presence of a reddened area on the client's calf, along with a difference in calf circumference between the left and right legs,suggests the possibility of deep vein thrombosis (DVT). DVT is a condition where a blood clot forms in a deep vein, typically in the legs. This can lead to a pulmonary embolism if a part of the clot breaks off and travels to the lungs, blocking blood flow. The client's recent long-duration car trip could have contributed to the development of DVT, as prolonged immobility is a known risk factor. The client's high fiber diet and adequate fluid intake are more likely to prevent constipation, and there is no indication of lead exposure, breath sounds issues, or atherosclerosis based on the information provided. Therefore, the most appropriate selections are 'pulmonary embolism' for the condition and 'possible deep vein thrombosis' for the client finding.
Correct Answer is C
Explanation
C. Keep the client's personal items within reach.Keeping the client's personal items within reach can provide a sense of familiarity and comfort, which may reduce anxiety or disorientation, thereby decreasing the tendency to wander.
Incorrect options:
A. "Tell the family that someone should plan to stay with the client.": While family involvement is important, this suggestion may not always be feasible. Additionally, it’s the nurse’s role to ensure the safety of the client within the facility.
B. "Place the client in a quiet room at the end of the hallway.": Isolating the client may increase confusion and feelings of disorientation.
D. "Provide bright lighting in the client's room at night.": Bright lights at night can disrupt sleep and may cause further disorientation. Dim or soft lighting or use of night lights in the room is generally more appropriate to promote restful sleep.
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