A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

Perform weight bearing exercises 2 times per week.

Increase intake of caffeinated beverages.

Take 400 IU of vitamin D per day.

Limit calcium intake to 600 mg per dose.

Answer and Explanation

The Correct Answer is A

A.   Performing weight-bearing exercises, such as walking, jogging, or strength training, helps improve bone density and prevent osteoporosis-related fractures.
B.   Caffeine can increase calcium excretion in the urine and may negatively affect bone health, so it is not recommended for clients at risk for osteoporosis.
C.   Taking 400 IU of vitamin D per day may be insufficient for clients at risk for osteoporosis. Most guidelines recommend at least 800-1,000 IU of vitamin D daily.
D.   Limiting calcium intake to 600 mg per dose is not recommended. Calcium should be taken in doses of 500-600 mg to improve absorption and bone health.

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Correct Answer is D

Explanation

A. Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B. Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C. Obtaining a seizure history is important but should be done after managing the acute situation.
D. The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

A. Assume the episode was a migraine and schedule a neurology follow-up for a later date. B. Discharge the patient immediately since the symptoms resolved. C. Initiate antiplatelet therapy, such as aspirin, to reduce the risk of future strokes. D. Order a CT scan of the head to rule out intracranial hemorrhage. E. Start anticoagulation therapy immediately without further evaluation. F. Conduct a carotid ultrasound to assess for stenosis. G. Refer the patient for lifestyle modifications, including smoking cessation and diet changes.

Correct Answer is ["C","D","F","G"]

Explanation

A. Assuming the episode was a migraine and scheduling a follow-up is not appropriate. TIAs are serious warning signs of potential future strokes and require immediate attention and evaluation.
B. Discharging the patient immediately after symptoms resolve is not appropriate. Even though symptoms resolve, TIAs are medical emergencies, and further evaluation is necessary to reduce the risk of a full-blown stroke.
C. Initiating antiplatelet therapy, such as aspirin, is an appropriate action to reduce the risk of future strokes in patients who have had a TIA.
D. Ordering a CT scan of the head is appropriate to rule out an intracranial hemorrhage and other causes of the symptoms.

E. Starting anticoagulation therapy immediately without further evaluation is not recommended. The patient must be properly assessed before starting anticoagulation to determine the cause of the TIA and if anticoagulation is appropriate.
F. Conducting a carotid ultrasound is appropriate to assess for stenosis, which could be contributing to the TIA.
G. Referring the patient for lifestyle modifications, including smoking cessation and diet changes, is crucial to reduce future stroke risk. These interventions help prevent the recurrence of TIAs and strokes.

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A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

Correct Answer is D

Explanation

Correct Answer is ["C","D","F","G"]

Explanation

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