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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: a distended bladder can displace the uterus and prevent it from contracting properly, leading to increased bleeding and risk of infection. The nurse should check for a distended bladder and assist the client to empty it if needed.

Choice B reason: reviewing the hemoglobin is not a priority action. The hemoglobin may not reflect the current blood loss and may be done later.

Choice C reason: massaging the uterus is not necessary if it is firm. Massaging a firm uterus can cause overstimulation and pain.

Choice D reason: increasing intravenous infusion is not a priority action. The client may not need additional fluids if the bleeding is moderate and the vital signs are stable.

A. Increase the intake of dark green leafy vegetables while taking warfarin. B. Eat two servings of dark green leafy vegetables daily and continue for 30 days after warfarin therapy is completed. C. Eat approximately the same amount of leafy green vegetables daily so the amount of vitamin K consumed is consistent. D. Avoid eating any foods that contain any vitamin K because it is an antagonist of warfarin.

Correct Answer is C

Explanation

Choice C reason: vitamin K can interfere with the anticoagulant effect of warfarin and increase the risk of clotting. The client should maintain a consistent intake of vitamin K from food sources, such as dark green leafy vegetables, to avoid fluctuations in the blood levels of warfarin.

Choice A reason: increasing the intake of dark green leafy vegetables while taking warfarin can decrease the effectiveness of warfarin and increase the risk of clotting.

Choice B reason: eating two servings of dark green leafy vegetables daily and continuing for 30 days after warfarin therapy is completed can cause unpredictable changes in the blood levels of warfarin and increase the risk of bleeding or clotting.

Choice D reason: avoiding any foods that contain any vitamin K while taking warfarin can increase the sensitivity to warfarin and increase the risk of bleeding.

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What environmental factor is most significant when planning care for a client with osteomalacia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action should the nurse implement first?

Correct Answer is A

Explanation

A client is being discharged with a prescription for warfarin. Which instruction should the nurse provide this client regarding diet?

Correct Answer is C

Explanation

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When assessing a multigravida on the first postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterus firm and three fingerbreadths above the umbilicus. What action should the nurse implement first?

The nurse is planning to teach infant care and preventive measures for sudden infant death syndrome (SIDS) to a group of new parents. Which information is most important for the nurse to include?