The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication?

Negative calcium balance

Loss of estrogen

Dowager's hump

Bone fractures

Answer and Explanation

The Correct Answer is D

A.   While osteoporosis is characterized by a negative calcium balance, this is not a major complication itself. It's a contributing factor to the condition.
B.   Loss of estrogen is a risk factor for osteoporosis, especially in postmenopausal women. However, it's not a complication of the disease itself.
C.   Dowager's hump, or kyphosis, is a common symptom of osteoporosis, but it's not a major complication. It's a visible manifestation of the disease.
D.   Bone fractures are the major complication of osteoporosis. The weakened bones become more susceptible to fractures, especially in areas like the hip, spine, and wrist.

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

Explanation

A. Encouraging a child with hypoglycemia to ambulate can be dangerous. Physical activity can further lower blood sugar levels, which could exacerbate the situation. It’s better to keep the child stable and provide treatment for the low blood sugar.
B. Waiting to confirm the blood glucose reading is not appropriate in this case. A blood glucose level of 50 mg/dL requires immediate intervention, not a delay. The priority is to treat the hypoglycemia right away.
C. Providing a fast-acting carbohydrate, like a tablespoon of honey, is an appropriate intervention for treating hypoglycemia. Other options could include glucose tablets or juice. The key is to quickly raise the blood sugar level.
D. Administering insulin when blood glucose levels are low is contraindicated. Insulin would further decrease the blood sugar level, worsening the hypoglycemic state. The priority is to treat the low blood sugar, not to give insulin.
E. If the child becomes unconscious due to hypoglycemia and is unable to swallow, glucagon should be prepared for administration. Glucagon can help raise blood sugar levels in emergency situations.

A. Avoid cleansing the area before application of the cream. B. Apply a thin layer of cream and rub it into the area thoroughly. C. Apply the cream over the entire body. D. Apply a thick layer of cream to affected areas only.

Correct Answer is B

Explanation

A. The area should be cleansed gently before applying the cream to remove any irritants and allow for better absorption of the medication. Proper cleansing can help enhance the effectiveness of the corticosteroid.
B. Topical corticosteroids should be applied in a thin layer to the affected area and gently rubbed in. Applying too much can increase the risk of side effects, and a thin application ensures better absorption without overwhelming the skin.
C. The corticosteroid should be applied only to the affected areas of the skin, not the entire body. Overuse can lead to systemic absorption and potential side effects, particularly in children, whose skin is more permeable.
D. While it is important to cover the affected areas, applying a thick layer is not recommended. A thin layer is usually sufficient and minimizes the risk of side effects from excessive corticosteroid use.

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The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)

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

Explanation

A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

Correct Answer is B

Explanation

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