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 ["D","E"]

Explanation

A. Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases.

B. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis.

C. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis.

D. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse.

E. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.

A. Right after breakfast and to lay the patient flat (as tolerated) for 30 minutes. B. With food but to avoid giving this medication with dairy products. C. On an empty stomach with a full glass of water and keep the patient upright for 30 minutes. D. On an empty stomach with a full glass of juice or milk.

Correct Answer is C

Explanation

A. The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation.

B. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements.

C. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers.

D. The medication should not be taken with milk or juice, as they can interfere with absorption.

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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

Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

Correct Answer is ["D","E"]

Explanation

A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

Correct Answer is C

Explanation

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