211 nur EXAM 1 hp

A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common? A. elderly postmenopausal woman B. elderly man C. young child D. young menstruating woman

A

A nurse is caring for a client who is scheduled to have a below the knee amputation. The client is visibly upset and angry and shouts at the nurse. Which of the following responses would be most appropriate? A. "It's okay to be angry and upset. Is there anything I can do to help?" B. "Be quiet. Your shouting is going to upset the other clients." C. "The physician has ordered you a sedative. Let me get it now." D. "You can yell at me all you want. I still need to take your vital signs."

A

A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include? A. "Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars." B. "Most falls among the elderly occur outside the home. Clients should confine themselves to their homes as much as practical." C. "Most accidental injuries among the elderly are automobile-related. Elderly clients should have vision testing every 6 months while they're still driving." "D. Because of the increase in home burglaries involving the elderly, these clients should have burglar bars on every window in the home."

A

An older, female client with osteoporosis has been hospitalized. Prior to discharge, when teaching the client, the nurse should include information about which major complication of osteoporosis? A. Bone fracture B. Loss of estrogen C. Dowager hump D. Negative calcium balance

A

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? A. Walk or perform weight-bearing exercises outdoors B. Decrease the intake of vitamin A and D C. Increase fiber in the diet D. Reduce stress

A

Which classic symptom will the nurse assess for to detect the development of plantar fasciitis? A. Morning heel pain B. Shortened height C. Shortening of affected leg D. Elevated temperature

A

Which client would the nurse identify as having the greatest risk for osteoporosis? A. A small-framed, thin 45-year-old white woman B. A 20-year-old male athlete with repeated injuries C. A 40-year-old overweight African American woman D. A 16-year-old male with a history of asthma

A

Which is not a risk factor for osteoporosis? A. being male B. being postmenopausal C. family history D. small-framed, thin White or Asian women

A

Which of the following inhibits bone resorption and promotes bone formation? A. Calcitonin B. Parathyroid hormone C. Corticosteroids D. Estrogen

A

A client with a musculoskeletal injury is instructed to increase dietary calcium. Which statement by the nurse is appropriate? A. "You need to increase the amount of red meat in your diet." B. "You need to increase the amount of vitamin D in your diet." C. "You need to increase the amount of phosphorus in your diet." D. "You need to increase the amount of non-citrus fruits in your diet."

B

A nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse should include information about which major complication? A. Loss of estrogen B. Bone fracture C. Negative calcium balance D. Dowager's hump

B

A nurse is teaching a client with osteoporosis about dietary selections. What client statement indicates the teaching was effective? A. "I will decrease my intake of red meat." B. "I will eat more dairy products to increase my calcium intake." C. "I will decrease my intake of popcorn, nuts, and seeds." D. "I will eat more fruits to increase my potassium intake.

B

Primary prevention of osteoporosis includes: A. using a professional alert system in the home in case a client falls when she's alone. B. optimal calcium intake and estrogen replacement therapy. C. placing items within the client's reach. D. installing grab bars in the bathroom to prevent falls.

B

The nurse is planning an education program for women of childbearing years. What does the nurse recognize as the primary prevention of osteoporosis? A. Undergoing assessment of serum calcium levels every year B. Ensuring adequate calcium and vitamin D intake C. Engaging in non-weight-bearing exercises daily D. Having a DXA beginning at age 35 years

B

The nurse is providing teaching to a client with a mild case of bunions. Which suggestion would be most important for the nurse to give this client? A. Avoid foot creams. B. Don proper footwear. C. Avoid strenuous exercise. D. Regularly use analgesics.

B

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? A. Increase fiber in the diet B. Walk or perform weight-bearing exercises C. Reduce stress D. Decrease the intake of vitamins A and D

B

What clinical manifestation would the nurse expect to find in a client who has had osteoporosis for several years? A. Bone spurs B. Decreased height C. Increased heel pain D. Diarrhea

B

Which is a strategy for lowering risk for osteoporosis? A. Increased age B. Smoking cessation C. Low initial bone mass D. Diet low in calcium and vitamin D

B

A nursing educator is reviewing the risk factors for osteoporosis with a group of recent graduates. Which of the following risk factors should the educator describe? A. High alcohol intake and low body mass index B. Male sex, diabetes, and high protein intake C. Small frame and female sex D. Recurrent infections and prolonged use of NSAIDs

C

What food can the nurse suggest to the client at risk for osteoporosis? A. Chicken B. Carrots C. Broccoli D. Bananas

C

A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet? A. Red meat B. Green vegetables C. Bananas D. Vitamin D-fortified milk

D

An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis? A. Loss of estrogen B. Dowager's hump C. Negative calcium balance D. Bone fracture

D

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density? A. Cardiac disease B. Hypertension C. Diabetes D. Compression fractures

D

Which is a risk-lowering strategy for osteoporosis? A. Increased age B. Low initial bone mass C. Diet low in calcium and vitamin D D. Smoking cessation

D

Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis? A. Acute pain related to fracture and muscle spasm B. Risk for constipation related to immobility C. Deficient knowledge about osteoporosis and the treatment regimen D. Risk for injury related to fractures due to osteoporosis

D