A nurse is teaching a client who is at risk for osteoporosis.
Which of the following instructions should the nurse include?
Perform moderate-intensity exercise for 150 min per week.
Perform vigorous exercise at least 2 times per week.
Take 400 IU of vitamin D supplement each day.
Take 250 mg of a calcium supplement each day.
The Correct Answer is A
Choice A rationale:
The CDC and other health organizations recommend at least 150 minutes of moderate-intensity aerobic exercise per week for overall health, which includes benefits for bone health. Weight-bearing exercises are particularly important for preventing osteoporosis.
Choice B rationale:
Performing vigorous exercise at least 2 times per week is generally recommended for maintaining cardiovascular health and overall fitness. However, for a client at risk for osteoporosis, the primary focus should be on calcium and vitamin D intake to support bone health and density. Vigorous exercise alone may not provide the necessary nutrients for bone health.
Choice C rationale:
Taking 400 IU of vitamin D supplement each day is a reasonable recommendation to support bone health, as vitamin D is essential for calcium absorption. However, the primary concern for a client at risk for osteoporosis is calcium intake. While vitamin D is important, calcium supplementation is more critical for addressing this specific issue.
Choice D rationale:
The RDA for calcium is generally 1,000 mg for adults up to age 50 and 1,200 mg for women over 50 and men over 70. For someone at risk of osteoporosis, ensuring adequate calcium intake is essential for bone health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Kohlberg's theory of moral development includes several stages, and in the stage of the social contract, individuals begin to challenge rules and laws that they believe infringe upon the rights of others. This stage is characterized by the development of a sense of justice and social responsibility. Individuals in this stage may question laws and rules that they see as unjust and work towards changing them in favor of the greater good.
Choice B rationale:
Law and order is a stage in Kohlberg's theory where individuals prioritize following the established laws and rules of society. They may not necessarily challenge these rules, as their primary concern is maintaining order and obedience to authority.
Choice C rationale:
Punishment and obedience is one of the earlier stages in Kohlberg's theory, where individuals focus on avoiding punishment and obeying authority figures. This stage does not involve challenging rules for the sake of protecting the rights of others.
Choice D rationale:
Good boy-nice girl is a stage where individuals seek approval and avoid disapproval from others. They tend to conform to societal expectations and do not necessarily challenge rules that may impinge on the rights of others.
Correct Answer is B
Explanation
Choice A rationale:
Full-thickness skin loss with visible adipose tissue is not indicative of a stage 1 pressure injury. A stage 1 pressure injury involves intact skin with localized erythema. Full-thickness skin loss with visible adipose tissue is more characteristic of a stage 2 or higher pressure injury.
Choice B rationale:
Intact skin with localized erythema is the hallmark of a stage 1 pressure injury. In this stage, the skin is still intact, but there is non-blanchable erythema (redness) that indicates tissue damage. There is no full-thickness skin loss, and the underlying structures are not visible.
Choice C rationale:
Full-thickness skin loss with visible bone is not characteristic of a stage 1 pressure injury. This description is more in line with a stage 4 pressure injury, where there is extensive tissue loss, and bone or other underlying structures are visible.
Choice D rationale:
Partial-thickness skin loss with red tissue in the wound bed is not indicative of a stage 1 pressure injury. This description is more typical of a stage 2 pressure injury, where there is partial-thickness skin loss, but the wound bed may contain pink or red tissue without visible adipose tissue.
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