The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?

Risk for falls

Knowledge deficient regarding disease process

Risk for skin breakdown

Limited mobility

Answer and Explanation

The Correct Answer is A

A. Severe kyphosis and osteoporosis increase the risk of falls, which can lead to fractures, making fall prevention the highest priority.

B. While important, education is not the immediate priority compared to preventing falls.

C. Skin breakdown is a concern but is not as critical as the immediate risk of injury from falls.

D. Limited mobility is a concern but secondary to the risk of falls.

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Correct Answer is A

Explanation

A. The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site.

B. While documenting the findings is important, it’s more critical to compare these new symptoms with preoperative findings to identify potential complications.

C. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy.

D. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.

A. Take this medication in the morning before eating B. Tingling around the mouth and nose are expected C. Avoid lying down for 30 minutes after taking this medication D. Drink an 8 oz. glass of water with each tablet E. Chew tablets to increase bioavailability

Correct Answer is ["A","C","D"]

Explanation

A. Alendronate should be taken in the morning on an empty stomach to ensure proper absorption.

B. Tingling around the mouth and nose is not a typical or expected side effect of alendronate.

C. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes.

D. Drinking water helps with swallowing and ensures the medication reaches the stomach.

E. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.

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The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

Correct Answer is A

Explanation

A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D"]

Explanation

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