Evolve Chapter 45 Questions

What will the nurse recommend as the most appropriate way to decrease the risk for osteoporosis in a client who has just been determined to be at high risk for the disease? a) Increase nutritional intake of phosphorus. b) Walk for 30 minutes three times a week. c) Increase nutritional intake of calcium. d) Engage in high-impact exercise, such as running.

b) Walk for 30 minutes three times a week.

An older adult client who has osteoporosis is discharged from the hospital. What does the nurse includein health teaching related to the client's home safety? a) "Keep walkways free of clutter." b) "Keep light low to prevent glare." c) "Walk slowly on wet floor areas after mopping." d) "Use area rugs on tile floors."

a) "Keep walkways free of clutter."

A young female client whose mother and grandmother have osteoporosis asks whether she needs to take steps to prevent this disease in herself. What will the nurse tell this client? a) "Now is the time to begin building strong bones." b) "Your risk isn't present until age 50; we can talk about it then." c) "You do not have to worry about symptoms at your age." d) "You should begin to take steps to prevent disease at age 30."

a) "Now is the time to begin building strong bones."

The nurse is caring for a client who is at risk for osteoporosis. What lifestyle changes might the client be able to implement to decrease this risk? (Select all that apply.) a) Avoiding excessive alcohol consumption b) Increasing foods high in phosphorus c) Decreasing consumption of carbonated beverages d) Preventing a sedentary daily lifestyle e) Seeking a smoking cessation program, if needed f) Including more calcium-rich foods into the diet

a) Avoiding excessive alcohol consumption c) Decreasing consumption of carbonated beverages d) Preventing a sedentary daily lifestyle e) Seeking a smoking cessation program, if needed f) Including more calcium-rich foods into the diet

The nurse is reviewing the laboratory test results of a client with a recently diagnosed osteosarcoma. What abnormal laboratory finding would the nurse expect for this client? a) Elevated alkaline phosphatase b) Decreased hematocrit c) Increased calcium d) Increased white blood cell count

a) Elevated alkaline phosphatase

Which risk factors are shared by male clients who have osteoporosis or osteomalcia? (Select all that apply.) a) High alcohol intake b) Homelessness c) Low BMI d) A history of smoking e) Inadequate exposure to sunlight

a) High alcohol intake d) A history of smoking

The nurse is caring for an older adult client diagnosed with osteomalacia. The nurse anticipates that the primary health care provider will request which supplement? a) Vitamin D3 b) Vitamin C c) Calcium d) Phosphorus

a) Vitamin D3

The nurse is caring for a client who is diagnosed with osteopenia. Which T-score will the nurse expect to see for this client after a bone mineral density (BMD) test? a) −2 b) −3 c) 0 to −1 d) +1.5

a) −2

A client who has osteopenia is prescribed to begin risedonate. What health teaching would the nurse include about this drug? a) "Take the drug with dinner or other meal or snack every day." b) "Remain in an upright position for 30 minutes after taking the drug." c) "Be sure to follow up with lab work to monitor your liver function." d) "Be sure to report any new bone pain or infection."

b) "Remain in an upright position for 30 minutes after taking the drug."

The nurse is teaching a postmenopausal client about the need for bone health and screening. What diagnostic test would the nurse recommend? a) Serum Vitamin D b) Dual x-ray absorptiometry (DXA) c) Serum calcium and phosphorus d) Vertebral x-rays

b) Dual x-ray absorptiometry (DXA)

A client is admitted to the same-day surgical center PACU after a bunionectomy. After assessing the client's ABCs, what is the priorityassessment for the client? a) Muscle strength assessment b) Joint assessment c) Neurovascular assessment d) Neurologic assessment

c) Neurovascular assessment

The nurse is caring for a female client who has a right wrist ganglion which is interfering with her ability to do her job as an administrative assistant. What collaborative treatment would the nurse anticipate for this client? a) Physical therapy b) Occupational therapy c) Removal of the ganglion d) Intravenous antibiotic therapy

c) Removal of the ganglion

The nurse suspects that a client may have plantar fasciitis if the client has which assessment finding? a) Dorsiflexion of any metatarsophalangeal (MTP) joint, with plantar flexion of the adjacent proximal interphalangeal (PIP) joint b) A small tumor in a digital nerve of the foot c) Severe pain in the arch of the foot, especially when getting out of bed d) Lateral deviation of the great toe; first metatarsal head becomes enlarged

c) Severe pain in the arch of the foot, especially when getting out of bed

The nurse is caring for a client who has been treated for osteoporosis for 15 years and is starting on denosumab. What health teaching is appropriate for the nurse to include about this drug? a) "You will receive an IV infusion once a year by your provider." b) "Take the drug every morning with a glass of water." c) "Have a dental examination prior to beginning the drug." d) "See your primary health care provider for twice yearly injections."

d) "See your primary health care provider for twice yearly injections."

The nurse is assessing an older adult client who has severe kyphosis. What psychosocial client problem would the nurse anticipate? a) Dementia b) Bipolar disorder c) Psychosis d) Depression

d) Depression

A middle-age female client has osteoporosis and is at risk for developing vertebral fractures. She asks the nurse about exercises to help minimize this risk. Which exercise will the nurse recommend? a) Cycling b) Running c) Walking d) Yoga

d) Yoga