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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hydrocortisone is a corticosteroid that can cause fluid retention and increase blood pressure in some individuals. It is important for the PN to monitor the client's blood pressure and educate them about this potential side effect.
Choice B reason: Tiotropium bromide is a bronchodilator used to manage asthma and chronic obstructive pulmonary disease (COPD). While it is not commonly associated with increasing blood pressure, the PN should still be aware of any potential side effects and monitor the client's blood pressure.
Choice C reason: Ethinyl estradiol/norethindrone is a combination oral contraceptive that contains estrogen and progestin. Estrogen can cause blood vessels to constrict, leading to an increase in blood pressure. The PN should educate the client about this potential side effect and monitor their blood pressure regularly.
Choice D reason: Pseudoephedrine is a decongestant that can cause vasoconstriction and increase blood pressure. It is important for the PN to inform the client about this potential side effect and monitor their blood pressure closely.
Choice E reason: Albuterol sulfate is a bronchodilator used to relieve asthma symptoms. While it can cause some cardiovascular side effects, such as increased heart rate, it is not typically associated with a significant increase in blood pressure. The PN should still monitor the client's blood pressure and be aware of any potential side effects.
Correct Answer is C
Explanation
Choice A reason: Red meats are typically high in sodium, especially if they are processed or cured. Encouraging the consumption of red meats would not be appropriate for a client with low sodium levels.
Choice B reason: Salted crackers are high in sodium and should be avoided for a client with low sodium levels. Consuming salted crackers would further decrease the sodium level, which is not desirable in this case.
Choice C reason: Fresh fruits are naturally low in sodium and are a good choice for a client with low sodium levels. They provide essential vitamins and nutrients without adding excess sodium to the diet.
Choice D reason: Green vegetables are also low in sodium and are a healthy option for a client with low sodium levels. However, fresh fruits are often more palatable and easier to incorporate into the diet, making them a better choice for encouraging the client to eat.
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