What environmental factor is most significant when planning care for a client with osteomalacia?
Quiet, calm surroundings
Stimulating sounds and activity
Cool, moist air
Adequate sunlight
The Correct Answer is D
Choice A reason: Quiet, calm surroundings are not a specific environmental factor for osteomalacia, which is a condition that causes softening and weakening of the bones due to vitamin D deficiency. However, they may be beneficial for promoting rest and comfort for the client.
Choice B reason: Stimulating sounds and activity are not a specific environmental factor for osteomalacia, which is a condition that causes softening and weakening of the bones due to vitamin D deficiency. However, they may be helpful for enhancing mood and cognition for the client.
Choice C reason: Cool, moist air is not a specific environmental factor for osteomalacia, which is a condition that causes softening and weakening of the bones due to vitamin D deficiency. However, it may be preferable for preventing dehydration and overheating for the client.
Choice D reason: This is the correct answer because adequate sunlight is the most significant environmental factor for osteomalacia, which is a condition that causes softening and weakening of the bones due to vitamin D deficiency. Sunlight exposure helps the skin synthesize vitamin D, which is essential for calcium absorption and bone mineralization.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To convert pounds to kilograms, divide by 2.2.
44 pounds / 2.2 = 20 kg
To find the dose of furosemide in mg, multiply the weight in kg by the dosage in mg/kg.
20 kg x 2 mg/kg = 40 mg
To find the volume of furosemide in mL, divide the dose in mg by the concentration in mg/mL.
40 mg / 10 mg/mL = 4 mL

Correct Answer is D
Explanation
Choice A reason: Marking an outline of the "olive-shaped" mass in the right epigastric area is not a priority nursing action. The mass is caused by hypertrophy of the pyloric sphincter, which obstructs gastric emptying and causes projectile vomiting. The mass may not be palpable in all cases.
Choice B reason: Instructing parents regarding care of the incisional area is a post-operative nursing action, not a pre-operative one. The parents will need to learn how to keep the incision clean and dry, monitor for signs of infection, and administer pain medication as prescribed.
Choice C reason: Monitoring amount of intake and infant's response to feedings is important, but not the highest priority. The infant may have difficulty feeding due to nausea, vomiting, and abdominal pain.
Choice D reason: This is the correct answer because initiating a continuous infusion of IV fluids per prescription is essential to prevent dehydration and electrolyte imbalance in the infant. The infant may have significant fluid loss due to vomiting and poor intake.

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