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. Encouraging the patient to relax and breathe deeply does not address the immediate concerns of potential hemorrhage.
B. An abdominal ultrasound is not the first step in managing potential GI bleeding; stabilization is the priority.
C. Proton pump inhibitors are important for managing peptic ulcer disease, but the immediate priority is
stabilizing the patient’s condition.
D. Initiating IV access and administering fluids as prescribed is essential to stabilize the patient, manage shock, and address potential blood loss from gastrointestinal bleeding.

A. Increase oxygen flow rate if the patient appears anxious. B. Administer high-flow oxygen to quickly relieve hypoxemia. C. Monitor the patient's respiratory rate and effort frequently. D. Adjust oxygen flow rate to maintain a saturation level of 88-92%. E. Use a non-rebreather mask to maximize oxygen delivery. F. Encourage the patient to take deep breaths frequently.

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

Explanation

A. Increasing the oxygen flow rate due to anxiety can worsen carbon dioxide retention, which is dangerous in COPD patients.
B. High-flow oxygen is typically not recommended for COPD patients because it can suppress respiratory drive.
C. Monitoring the respiratory rate and effort is crucial to ensure the patient is not retaining carbon dioxide or experiencing further respiratory distress.
D. Adjusting the oxygen flow rate to maintain a saturation level of 88-92% is recommended for COPD patients to prevent hypercapnia.
E. A non-rebreather mask is generally not used for COPD patients, as it can deliver too much oxygen, leading to carbon dioxide retention.
F. Encouraging deep breathing can help, but it is more important to focus on maintaining the proper oxygen saturation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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

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