A student is reviewing a client's medications for osteoporosis. Which medication(s) will have the least effect in increasing the client's bone mass?
Calcitriol (Fortica)
Calcium (Caltrate) with Vitamin D (Caltria)
Alendronate (Fosamax)
Calcium (Caltrate) without Vitamin D (Calcio)
None of the above
The Correct Answer is D
Choice A reason: Calcitriol (Fortica) is not the medication that will have the least effect in increasing the client's bone mass, as it is a synthetic form of vitamin D that helps the body absorb calcium and phosphorus, which are essential for bone health. Calcitriol also regulates the bone remodeling and prevents the bone resorption.
Choice B reason: Calcium (Caltrate) with Vitamin D (Caltria) is not the medication that will have the least effect in increasing the client's bone mass, as it is a combination of calcium and vitamin D that works synergistically to enhance the bone density and strength. Calcium is the main mineral component of the bone, and vitamin D helps the body absorb calcium and phosphorus.
Choice C reason: Alendronate (Fosamax) is not the medication that will have the least effect in increasing the client's bone mass, as it is a bisphosphonate that inhibits the activity of osteoclasts, which are the cells that break down the bone. Alendronate reduces the bone loss and increases the bone mass, and it is used to treat and prevent osteoporosis.
Choice D reason: Calcium (Caltrate) without Vitamin D (Calcio) is the medication that will have the least effect in increasing the client's bone mass, as it is a calcium supplement that does not contain vitamin D, which is necessary for the calcium absorption and utilization. Calcium alone may not be sufficient to prevent or treat osteoporosis, and it may also cause side effects such as constipation, kidney stones, or hypercalcemia.
Choice E reason: None of the above is not a correct choice, as there is one option that matches the medication that will have the least effect in increasing the client's bone mass.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Rosacea is not a parasitic skin infestation, but a chronic inflammatory skin condition that causes redness, flushing, and bumps on the face.
Choice B reason: Pediculosis corporis is a parasitic skin infestation caused by body lice, but it is not the only one. The question asks for what the student should include in the presentation, not what is the most common or severe type of parasitic skin infestation.
Choice C reason: Sarcoptes scabiei is a parasitic skin infestation caused by scabies mites, which burrow into the skin and cause intense itching, rash, and secondary infections. This is a correct choice to include in the presentation, as scabies is a common and contagious condition that affects people of all ages and backgrounds.
Choice D reason: Furuncles are not a parasitic skin infestation, but a bacterial infection of the hair follicles that causes painful, pus-filled boils on the skin.
Choice E reason: Impetigo is not a parasitic skin infestation, but a bacterial infection of the skin that causes red, oozing, and crusted sores.
Correct Answer is A
Explanation
Choice A reason: This statement indicates the need for further teaching, as it shows that the client does not understand the possible complication of postherpetic neuralgia, which is a chronic pain condition that can persist for months or years after the rash heals. The nurse should explain to the client that some people may experience this condition and that there are treatments available to manage the pain.
Choice B reason: This statement does not indicate the need for further teaching, as it shows that the client understands the importance of preventing the transmission of the virus to others, especially those who have not had chicken pox or the vaccine. The nurse should reinforce this behavior and remind the client to cover the rash with a dressing and avoid contact with pregnant women, newborns, and immunocompromised people.
Choice C reason: This statement does not indicate the need for further teaching, as it shows that the client knows the etiology of the infection. The nurse should confirm that the client is correct and explain that the virus remains dormant in the nerve cells after the initial infection and can reactivate later in life due to stress, aging, or other factors.
Choice D reason: This statement does not indicate the need for further teaching, as it shows that the client recognizes the prodromal symptom of the infection. The nurse should acknowledge that the client is correct and explain that the pain is caused by the inflammation of the nerve fibers where the virus resides. The nurse should also ask the client about the severity and frequency of the pain and provide appropriate interventions.
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