The practical nurse (PN) enters the room of a client scheduled for a bone density test later in the morning. The client is preparing to eat breakfast and states, "I drink a lot of orange juice because I have osteoporosis. My test today will tell me if the osteoporosis has worsened." How should the PN respond?

Commend the client for ensuring an adequate source of vitamin C in the diet.

Advise the client of the need to remain NPO until the test is completed.

Determine if the client drinks orange juice that has been fortified with calcium.

Correct the client's misunderstanding of the purpose of bone density testing.

Answer and Explanation

The Correct Answer is D

Choice A reason: Commending the client for ensuring an adequate source of vitamin C in the diet is not the best response. While vitamin C is important for overall health, it does not directly impact bone density. The client's focus on orange juice may stem from a misunderstanding of the nutrients that are critical for bone health, such as calcium and vitamin D. A better approach would be to address the specific nutrients that support bone density and clarify any misconceptions.
Choice B reason: Advising the client of the need to remain NPO (nothing by mouth) until the test is completed is not necessary for a bone density test. Bone density tests, such as dual-energy X-ray absorptiometry (DEXA) scans, do not require the client to fast beforehand. Providing this advice would be incorrect and could cause unnecessary concern or confusion for the client.
Choice C reason: Determining if the client drinks orange juice that has been fortified with calcium is a helpful step, but it does not address the immediate need to correct the client's misunderstanding about the purpose of the bone density test. While calcium-fortified orange juice can be beneficial for bone health, the priority should be to ensure the client has accurate information about the test they are undergoing.
Choice D reason: Correcting the client's misunderstanding of the purpose of bone density testing is the most appropriate response. The primary goal of a bone density test is to measure the density of the bones and assess the risk of fractures, not to diagnose or confirm the presence of osteoporosis. By providing clear and accurate information about the test, the practical nurse can help the client understand its purpose and alleviate any misconceptions. This response also opens the door for further education on managing osteoporosis and ensuring the client is receiving the necessary nutrients for bone health.

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Correct Answer is A

Explanation

Choice A reason: Driving a car is an activity that requires physical and mental focus, which can be impaired following surgery. The client recovering from a transurethral prostatectomy might experience discomfort, pain, or the effects of anesthesia, which could affect their ability to drive safely. Additionally, there is a risk of increased pressure on the surgical site while sitting for prolonged periods, which can impact the healing process. Limiting this activity until after the first postoperative visit ensures that the healthcare provider can assess the client's recovery and provide appropriate guidance on when it is safe to resume driving.
Choice B reason: Eating high-fiber foods is generally encouraged to prevent constipation, which is a common issue post-surgery. Fiber helps maintain regular bowel movements and can reduce the strain during defecation. This is beneficial for clients recovering from a transurethral prostatectomy as straining can increase pressure on the surgical site. Therefore, there is no need to limit the intake of high-fiber foods; rather, it should be reinforced as a positive dietary habit during the recovery period.
Choice C reason: Kegel exercises are recommended to strengthen the pelvic floor muscles, which can aid in improving urinary control post-surgery. These exercises are an integral part of the recovery process for clients undergoing prostate surgery and can significantly enhance bladder function. Thus, Kegel exercises should not be limited but should be encouraged as part of the client's postoperative care plan.
Choice D reason: Walking around the house is a low-impact activity that can promote circulation and prevent complications such as deep vein thrombosis (DVT). It also helps in maintaining overall mobility and can aid in the recovery process. Limiting such light physical activity is unnecessary, as it can have several benefits for the client during the postoperative period. Encouraging gentle movement is generally advantageous for recovery.

A. Water-based lubricant. B. Specimen bottle. C. Microscopic slide and spray cell fixative. D. Disposable vaginal speculum. E. Cytobrush or plastic spatula cervical sampling device.

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

Explanation

Choice A reason: Water-based lubricant is essential during a Pap test to ensure the patient's comfort and ease the insertion of the speculum. It is non-irritating and does not interfere with the collection of the cervical sample, which is crucial for accurate test results.
Choice B reason: A specimen bottle is required to store and transport the collected cervical cells to the laboratory for analysis. It ensures that the sample is properly preserved and can be accurately analyzed for any abnormalities, such as precancerous or cancerous cells.
Choice C reason: A microscopic slide and spray cell fixative are necessary for preparing the collected cervical cells for microscopic examination. The fixative helps preserve the cells on the slide, preventing them from drying out or becoming damaged, which is important for accurate analysis.
Choice D reason: A disposable vaginal speculum is used to gently open the vaginal walls, providing the healthcare provider with a clear view of the cervix. This allows for the proper collection of cervical cells during the Pap test, ensuring the accuracy and reliability of the test results.
Choice E reason: A cytobrush or plastic spatula cervical sampling device is used to collect the cervical cells from the transformation zone of the cervix. These devices are designed to gather an adequate and representative sample, which is essential for the accurate detection of any cellular abnormalities.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

Correct Answer is A

Explanation

When preparing a client for a Papanicolaou (Pap) test, which equipment is necessary for the practical nurse (PN) to provide the healthcare provider? Select all that apply.

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

Explanation

The practical nurse (PN) is caring for a client admitted with a diagnosis of herpes zoster. The client has draining lesions and reports that the affected area is painful. Which action should the PN take first?

A client with Crohn's disease has a serum sodium level of 130 mEq/L (130 mmol/L). Which foods should the practical nurse (PN) encourage the client to eat? Reference Range: Sodium: 136 to 145 mEq/L (136 to 145 mmol/L)

A client is admitted with the diagnosis of possible pneumonia, and laboratory studies are prescribed to rule out the etiology. Which specimen should the practical nurse (PN) collect prior to the beginning of antibiotic therapy?

A client who received a renal transplant two weeks ago is experiencing a rapid and sudden decrease in urine output in the catheter. Which assessment(s) should the practical nurse (PN) complete before notifying the charge nurse? Select all that apply.

A client is being transferred from the cardiovascular intensive care unit (CV-ICU) three days after a myocardial infarction. Which information is most significant in planning this client's rehabilitation?

The practical nurse (PN) is completing a focused assessment of a client who was admitted yesterday with polycythemia vera. Which finding should the PN report to the charge nurse immediately?

While performing a routine assessment of a bedfast client who has bilateral cataracts, the practical nurse (PN) observes that the client's pupils appear milky white. Which action should the PN take next?