A nurse is teaching a client who has osteoporosis about ways to reduce stress on the skeletal system. Which of the following instructions should the nurse include?

Begin a weight-bearing exercise program.

Avoid practicing yoga.

Continue jogging 1 to 2 miles per day.

Walk at least 60 min every day.

Answer and Explanation

The Correct Answer is A

A. Begin a weight-bearing exercise program: Activities like walking, dancing, and resistance training help maintain bone density by stimulating osteoblast activity. Regular weight-bearing exercise strengthens bones and reduces the risk of fractures.

B. Avoid practicing yoga: Yoga can actually be beneficial for individuals with osteoporosis by improving balance, flexibility, and posture. However, certain high-impact or extreme bending poses should be avoided.

C. Continue jogging 1 to 2 miles per day: High-impact activities such as jogging can increase the risk of fractures in individuals with osteoporosis. Lower-impact exercises like walking or strength training are safer alternatives.

D. Walk at least 60 min every day: While walking is a good low-impact exercise, excessive walking without resistance or strength training may not provide sufficient bone-strengthening benefits. A structured weight-bearing exercise program is more effective.

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Correct Answer is B

Explanation

A. Contact your pharmacy to inquire about a different medication: Pharmacies may offer generic alternatives, but they cannot change a prescription without provider authorization. A social worker can explore financial assistance programs, which is a more comprehensive solution.

B. I can arrange for a social worker to talk with you before you leave: Social workers assist clients in finding resources such as medication assistance programs, prescription discount plans, or community aid. This ensures the client can access their medication without financial strain.

C. You should ask your provider to prescribe a cheaper medication: While discussing cost-effective alternatives with the provider is an option, it does not directly address the client’s financial concerns. A social worker can provide broader support beyond just switching medications.

D. I can contact the occupational therapist to schedule a home visit: Occupational therapy focuses on improving daily function and independence. It does not address financial concerns related to medication affordability, making this option inappropriate for the situation.

A. Client report of pain at the incision site B. High-pitched sound on inspiration C. Hypoactive bowel sounds D. Loose tracheal secretions

Correct Answer is B

Explanation

A. Client report of pain at the incision site: Pain is expected after a thyroidectomy and can be managed with analgesics. While discomfort can affect recovery, it does not indicate an immediate life-threatening complication.

B. High-pitched sound on inspiration: Stridor suggests airway obstruction due to laryngeal edema or tracheal compression, which can rapidly progress to respiratory distress. Immediate intervention, such as airway support or emergency intubation, is required to prevent asphyxiation.

C. Hypoactive bowel sounds: Decreased bowel sounds are common postoperatively due to anesthesia and immobility. This should be monitored for potential ileus but does not pose an immediate danger.

D. Loose tracheal secretions: Excess secretions may require suctioning, but they do not indicate a critical airway compromise like stridor does. Maintaining a clear airway is essential, but this finding alone is not an emergency.

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A nurse is teaching a client who has osteoporosis about ways to reduce stress on the skeletal system. Which of the following instructions should the nurse include?

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