The nurse is providing teaching to a young adult who is at risk for early-onset osteoporosis. Which intervention should the nurse suggest?

The client should participate in physical activity such as swimming.

The client should limit carbonated beverages.

The client should start taking hormonal replacement therapy.

The client should decrease intake of dairy in the diet.

Answer and Explanation

The Correct Answer is A

A. While physical activity is important, swimming is not a weight-bearing exercise and therefore does not provide the bone-strengthening benefits necessary to reduce osteoporosis risk. Activities such as walking, jogging, or resistance training are more effective.
B. Carbonated beverages, especially colas, are associated with decreased bone density because they may contain phosphoric acid and can displace calcium-rich beverages like milk in the diet. Limiting these drinks helps reduce osteoporosis risk.
C. Hormone replacement therapy (HRT) is not recommended as a preventive measure for young adults due to potential risks and side effects. It is generally considered only for postmenopausal women when indicated.
D. Dairy products are high in calcium and vitamin D, which are essential for bone health. Decreasing intake would increase the risk of osteoporosis rather than prevent it.

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Correct Answer is B

Explanation

A. Crying uncontrollably and physical illness reflect acute grief responses, not anticipatory grief.
B. Anticipatory grief occurs before an actual loss and may involve gradually detaching or preparing emotionally by reducing time spent with the loved one.
C. This reflects spiritual distress or anger rather than anticipatory grief.
D. Refusing to leave the bedside demonstrates denial or difficulty coping, not healthy anticipatory grieving.

A. "Peripheral neuropathy occurs due to uncontrolled hypoglycemia, you may need to decrease your insulin." B. "Decreased sensations of pain and temperature can increase your risk of undetected foot infections." C. "As neuropathy progresses, feet become numb and you may not have noticed this in it's early stages." D. "Foot ulcers do not occur with peripheral neuropathy, only with peripheral vascular disease". E. "Peripheral neuropathy occurs due to elevated blood glucose levels over a period of years.

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

Explanation

A. Peripheral neuropathy is associated with chronic hyperglycemia, not hypoglycemia. Decreasing insulin would worsen blood glucose control and neuropathy risk.

B. Loss of protective sensation (pain, temperature, pressure) predisposes the client to unnoticed injuries and subsequent infections.

C. As neuropathy progresses, numbness and impaired sensation increase the risk of foot ulcers going unnoticed until they worsen.

D. Peripheral neuropathy is a leading cause of diabetic foot ulcers; it is not limited to vascular disease alone.

E. Chronic hyperglycemia over years damages nerves, leading to neuropathy and increased ulcer risk.

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The nurse is providing teaching to a young adult who is at risk for early-onset osteoporosis. Which intervention should the nurse suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client's spouse about anticipatory grief. Which statement made by the spouse indicates understanding?

Correct Answer is B

Explanation

The nurse is caring for a client who has peripheral neuropathy who has developed a foot ulcer. The client's caregiver asks, "How could this have happened?" What is the nurse's best response(s)? (Select all that apply)

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

Explanation

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