Which of the following strategies is most effective in preventing osteoporosis in older adults?

Taking calcium supplements

Avoiding all forms of physical activity

Regular weight-bearing exercise

Limiting sun exposure

Answer and Explanation

The Correct Answer is C

A. Taking calcium supplements: While calcium supplements can help, they are not as effective alone without other measures such as weight-bearing exercise.
B. Avoiding all forms of physical activity. Physical inactivity can actually increase the risk of osteoporosis. Weight-bearing exercise helps to strengthen bones.
C. Regular weight-bearing exercise. Weight-bearing exercises, such as walking or lifting weights, are the most effective in promoting bone health and preventing osteoporosis.
D. Limiting sun exposure. Limiting sun exposure can actually be detrimental because it can lead to a deficiency in vitamin D, which is necessary for calcium absorption and bone health.

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Correct Answer is D

Explanation

A. Pallor of the affected extremity: Pallor usually indicates vascular issues rather than a rotator cuff injury.

B. Alteration in the appearance of the shoulder joint: Visible deformity may suggest a dislocation or fracture, not specifically a rotator cuff injury.

C. Numbness of the thumb and index finger: Numbness of the thumb and index finger is more likely related to nerve compression, such as carpal tunnel syndrome.

D. Increased pain with lifting the arm: This is characteristic of a rotator cuff injury, which typically causes pain and weakness with shoulder movements, especially lifting the arm.

A. Acutely inflamed joints respond best to heat therapy. B. It’s important to monitor all body systems for effects of the disease. C. Exercise is poorly tolerated and frequent rest is needed. D. injury and age are the greatest contributors to disease development.

Correct Answer is B

Explanation

A. Acutely inflamed joints respond best to heat therapy. Heat therapy is generally used to relieve chronic stiffness in RA but acutely inflamed joints typically respond better to cold therapy to reduce inflammation.

B. It’s important to monitor all body systems for effects of the disease. Correct. RA is a systemic autoimmune disease that can affect multiple body systems, not just the joints, unlike osteoarthritis, which is primarily a degenerative joint disease.

C. Exercise is poorly tolerated and frequent rest is needed. While rest is important during acute flare-ups, regular, gentle exercise is crucial in managing RA to maintain joint function and muscle strength.

D. Injury and age are the greatest contributors to disease development. RA is an autoimmune disorder with a different etiology than osteoarthritis, which is more related to wear and tear and aging.

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Which of the following strategies is most effective in preventing osteoporosis in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who reports shoulder pain. Which of the following findings should cause the nurse to suspect that the client has a rotator cuff injury?

Correct Answer is D

Explanation

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. What type of nursing care does the nurse specifically provide for the patient with RA?

Correct Answer is B

Explanation

The nurse collects data on a patient's left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. Which procedure does the nurse anticipate for this patient?

A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.)

A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

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