A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?

Cardiac glycosides

Thyroid hormones

Anticoagulants

NSAIDs

Answer and Explanation

The Correct Answer is B

Choice A reason: Cardiac glycosides are primarily used to treat heart conditions such as heart failure and atrial fibrillation. They do not typically affect bone density or contribute to osteoporosis.

Choice B reason: Thyroid hormones can increase the risk of osteoporosis, especially if taken in excess. Over-replacement of thyroid hormone can accelerate bone loss, leading to decreased bone density and increased fracture risk.

Choice C reason: Anticoagulants are used to prevent blood clots but are not generally associated with an increased risk of osteoporosis. Their primary side effects are related to bleeding and bruising.

Choice D reason: NSAIDs (nonsteroidal anti-inflammatory drugs) are used to reduce inflammation and pain. They do not typically affect bone density or contribute to osteoporosis.

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Correct Answer is C

Explanation

Choice A reason: Aspirating for a blood return before depressing the plunger is not recommended when administering enoxaparin. Enoxaparin is given subcutaneously, and aspiration is not necessary for subcutaneous injections. Aspiration can cause tissue damage and increase the risk of bleeding.

Choice B reason: Inserting the needle at a 45-degree angle is appropriate for subcutaneous injections if the patient has limited subcutaneous tissue. However, for enoxaparin, the preferred angle is 90 degrees to ensure the medication is delivered into the subcutaneous tissue.

Choice C reason: Not expelling the air bubble in the prefilled syringe is correct. The air bubble in the prefilled syringe of enoxaparin is designed to ensure the entire dose is administered and to prevent leakage of the medication. Expelling the air bubble can result in an incomplete dose.

Choice D reason: Administering the medication 2.54 cm (1 inch) from the umbilicus is correct for subcutaneous injections in the abdomen. However, this statement alone does not address the specific consideration of the air bubble in the prefilled syringe, which is crucial for enoxaparin administration.

A. A private room in a quiet location on the unit. B. A private room across from the exercise room. C. A semi-private room across from the day room. D. A semi-private room across from the snack area.

Correct Answer is A

Explanation

Choice A reason: A private room in a quiet location on the unit is the best option for a client in the manic phase of bipolar disorder. This environment minimizes stimulation and distractions, which can help reduce agitation and hyperactivity. It also allows for better control of the client’s environment, which is crucial for managing manic symptoms.

Choice B reason: A private room across from the exercise room is not ideal because the proximity to the exercise room can increase stimulation and noise, potentially exacerbating manic symptoms. Clients in the manic phase need a calm and quiet environment to help stabilize their mood.

Choice C reason: A semi-private room across from the day room is also not suitable. The day room is typically a busy area with a lot of activity and noise, which can be overstimulating for a client in the manic phase. Sharing a room with another client can further increase the risk of agitation and conflict.

Choice D reason: A semi-private room across from the snack area is not recommended for similar reasons. The snack area is likely to have frequent traffic and noise, which can be disruptive. Additionally, sharing a room can lead to increased stimulation and potential conflicts with a roommate.

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A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?

Correct Answer is A

Explanation

A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

A nurse is providing teaching for a client who is preparing for a below-the-knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis?

A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?

A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan?

A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect? (Select all that apply)

A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?