The nurse is educating a group of older adults at a community meeting regarding the risk factors for osteoporosis. Which risk factors should the nurse include in the presentation?
Small frame and female biologic sex.
Prolonged use of ibuprofen.
Male biologic sex, diabetes and high protein intake,
Elevated estrogen levels and increased body mass.
The Correct Answer is A
A. Individuals with a small body frame and those of female biologic sex are at higher risk for osteoporosis. Women are particularly vulnerable after menopause due to decreased estrogen, which accelerates bone loss.
B. Prolonged use of corticosteroids (e.g., prednisone), not ibuprofen, is a significant risk factor for osteoporosis. NSAIDs like ibuprofen do not typically contribute to bone density loss.
C. Male sex is generally protective compared to female sex, and diabetes is not considered a primary risk factor. While nutrition does play a role, high protein intake does not directly cause osteoporosis; instead, low calcium and vitamin D intake are more concerning.
D. Low estrogen levels (not elevated) contribute to osteoporosis, especially in postmenopausal women. Increased body mass can actually provide some protective effect on bone density due to higher weight-bearing stress on bones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","F","G"]
Explanation
A. A low-stimulation environment helps reduce discomfort and agitation, which is important for clients with meningitis.
B. Assisting with a lumbar puncture is essential for confirming the diagnosis and guiding treatment.
C. The meningococcal vaccine is preventive, not a treatment for active infection. Antibiotics are the primary treatment.
D. Intravenous antibiotics should be initiated immediately to treat bacterial meningitis and reduce morbidity and mortality.
E. While assessing neurologic status is important, daily assessment alone is insufficient; continuous monitoring and early interventions are priority.
F. Seizure precautions are important because meningitis can increase the risk of seizures due to irritation of the meninges.
G. Droplet precautions are necessary to prevent transmission of Neisseria meningitidis, which is highly contagious.
Correct Answer is C
Explanation
A. The varicella (chickenpox) vaccine is not appropriate for an older adult who already had chickenpox and is now presenting with shingles (herpes zoster).
B. Antibiotics are not indicated; shingles is caused by a virus (varicella-zoster virus), not bacteria.
C. The zoster vaccine is recommended after recovery to help prevent future episodes and reduce the risk of complications such as postherpetic neuralgia.
D. Shingles is not sexually transmitted, so avoiding sexual activity is unnecessary.
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