The NP is providing teaching to a 53-year-old woman who was recently diagnosed with osteoporosis. Which statement by the woman would indicate a need for further teaching?
“I should avoid weight-bearing activities to reduce my risk of fractures.”
“I'm going to sign up for a yoga class, which will help my balance.”
“I will stop smoking and drinking alcohol to reduce my risk of fractures.”
“I will start taking calcium to help strengthen my bones.”
The Correct Answer is A
Choice A reason: Avoiding weight-bearing activity is contraindicated in osteoporosis management. Regular weight-bearing exercises strengthen bones and improve balance, reducing fracture risk.
Choice B reason: Yoga improves balance, flexibility, and strength, contributing positively to osteoporosis management and fall prevention.
Choice C reason: Smoking and excessive alcohol consumption negatively affect bone density; cessation is an important preventive measure.
Choice D reason: Adequate calcium intake supports bone health and is essential in osteoporosis management, along with vitamin D and exercise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While factually correct, this statement is dismissive and does not validate the patient’s autonomy or concerns.
Choice B reason: This response is accurate and patient-centered, acknowledging the lack of proven benefit while respecting the patient’s choice to use ginkgo biloba.
Choice C reason: This is a personal opinion rather than an evidence-based, professional response and may seem judgmental.
Choice D reason: This statement minimizes the patient’s concern and may provide false reassurance.
Correct Answer is C
Explanation
Choice A reason: CBC, thyroid studies, and HbA1c are not standard pre-treatment requirements for anticonvulsants unless indicated by comorbid conditions.
Choice B reason: CSF analysis and urinalysis are typically reserved for diagnostic workup of seizures, not pre-treatment pharmacogenomic risk assessment.
Choice C reason: Certain anticonvulsants, such as carbamazepine, carry a risk of severe cutaneous reactions like Stevens-Johnson syndrome. Individuals of Asian descent may carry HLA alleles (e.g., HLA-B*1502) that increase susceptibility. Screening reduces risk.
Choice D reason: Referral to psychiatry is unnecessary unless there is suspicion of non-epileptic seizures; it is not a standard consideration prior to anticonvulsant initiation.
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