A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis?
Raloxifene
Calcitonin
Allopurinol
Levothyroxine
The Correct Answer is A
Choice a) Raloxifene:
Raloxifene is part of a class of drugs known as selective estrogen-receptor modulators (SERMs). It works by imitating the beneficial effects of the hormone estrogen on your bones, helping to prevent bone loss and improve density. Therefore, it is used in the prevention and treatment of osteoporosis.
Choice b) Calcitonin:
Calcitonin is a hormone that a person’s thyroid gland produces. It helps regulate the amount of calcium in the body. For the treatment of postmenopausal osteoporosis, scientists typically extract calcitonin from salmon. This is because salmon calcitonin has a much higher potency than human calcitonin. Osteoclasts are cells in the body that degrade bone. Calcitonin can inhibit osteoclasts. This helps slow the loss of bone density and increases bone mass, hindering the progression of osteoporosis.
Choice c) Allopurinol:
Allopurinol is primarily used to treat gout and certain types of kidney stones. It is not typically used in the prevention or treatment of osteoporosis.
Choice d) Levothyroxine:
Levothyroxine is used to treat hypothyroidism (underactive thyroid). It is not typically used in the prevention or treatment of osteoporosis. However, if you are prescribed levothyroxine you should have regular blood tests, at least once a year, to ensure your thyroid hormone levels are not too high. Continuous high thyroid hormone levels may lead to developing or worsening of low bone density and osteoporosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Placing the leg under a heat lamp every 3 hours is not recommended for the treatment of cellulitis. Heat lamps can cause burns and excessive drying of the skin, which may worsen the condition.
Choice B reason:
Wrapping a warm, wet towel around the affected area is a safe and effective way to apply heat therapy for cellulitis. It can help improve blood flow and relieve discomfort without the risk of burns associated with dry heat sources.
Choice C reason:
Using a heating pad directly on the skin, especially when lying down, can increase the risk of burns and is not recommended for treating cellulitis. Heating pads can provide uneven heat and may exacerbate swelling and inflammation.
Choice D reason:
Soaking the leg in water is not typically advised for cellulitis, especially if there are open wounds or breaks in the skin. Immersion in water can introduce new bacteria to the affected area and potentially worsen the infection.
Correct Answer is A
Explanation
Choice A reason:
In the case of burns to the face and chest, assessing for inhalation injuries is critical due to the potential for airway compromise. Inhalation injuries can lead to significant respiratory distress and are considered a high priority in burn care. Inspecting the mouth for soot, burns, or edema can provide immediate information about the potential for respiratory complications, which can be life-threatening.
Choice B reason:
While monitoring urine output is important in burn patients for assessing fluid balance and kidney function, it is not the immediate priority. The insertion of an indwelling urinary catheter can be performed after stabilizing the airway and ensuring the patient is breathing adequately.
Choice C reason:
A CBC count is important for evaluating the patient's overall health status and can indicate the presence of infection or anemia. However, it is not the first action to take in the emergency setting where immediate life-saving interventions are prioritized.
Choice D reason:
Administering intravenous pain medication is important for patient comfort and can facilitate further care, but it is not the first priority. The initial focus should be on life-saving measures such as securing the airway and assessing for inhalation injuries.
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