Osteoporosis

A nurse is teaching an older adult client about osteoporosis . Which of the following statements should the nurse include in the teaching ?

A " Cottage cheese is a good source of calcium . " B . " Increase your caffeine intake . " C . " Brisk walking will help prevent bone loss . " D. " Hormone replacement therapy with estrogen will increase your risk of osteoporosis C

A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis . Which of the following statements should the nurse include in the teaching ?

A. " Extended periods of immobility increase your risk of osteoporosis . " B. " Prolonged periods of sun exposure increase your risk of osteoporosis . C . " Eating a diet high in protein can reduce your risk of osteoporosis D. Corticosteroid therapy will reduce your risk of osteoporosis . " A

Which of the A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy . following client statements indicates an understanding of the teaching ?

A. " I should take a calcium supplement while on this medication . " B. " Regular liver function studies will have to be done while I am taking this medication . C. " I can take NSAIDs to treat mild pain while using this medication . " D. " I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication A

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate . Which of the following client statements indicates that the teaching was effective ?

A. " I should take the medication with a glass of orange juice . " B. " I will allow the medication to dissolve in my mouth . " C. " I will sit upright for 30 minutes after taking the medication . D. " I should take the medication right after eating breakfast . " C

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin - salmon . Which of the following statements by the client indicates an understanding of the teaching ?

A. " I will administer a spray into each nostril daily . " B. " I should expect nasal bleeding for the first week . " C. " I will need to depress the side arms to activate the pump . " D. " I should expect to take this medication for a short - term course of treatment . " C

A nurse is teaching a client who has a new prescription for alendronate for the treatment of osteoporosis . Which of the following statements by the client indicates an understanding of the teaching ?

A. " I will take the medication in the evening . " B. " I will drink a full glass of milk with the medication . " C. " I will take the medication at mealtime . " D. " I will sit upright after taking the medication . " D

Anurse is teaching a client who has osteoporosis about a new prescription for risedronate . Which of the following client statements indicates an understanding of the teaching ?

A. " I will take this medication with a full cup of water . " B. " I will lie down after I take this medication . " C. " I will take this medication with food . " D. " I will take this medication at bedtime . " A

A nurse is teaching a client who is experiencing age - related vaginal atrophy and has a prescription for estradiol cream . Which of the following statements should the nurse include in the teaching ?

A. " This medication should be used daily . B. " This medication should be applied externally . " C. " This medication has fewer systemic effects than oral estrogen . " D. " This medication can increase your risk of bone loss . " C

Which of the following instructions A nurse is providing discharge instructions about calcium supplements to an older adult female client who has osteoporosis and recently underwent a repair of a fracture in her right hip should the nurse include ?

A. " You should take your calcium supplement with a large glass of water . " B. " You should increase your intake of grain cereals while taking calcium supplements . " C. " You should take at least 2600 mg of calcium supplements daily . " D. " You will not need to take vitamin D with your calcium supplement after menopause A

A nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium . Which of the following pieces of information should the nurse include ?

A. Alendronate sodium can be administered by IV once yearly . B. Take alendronate sodium with a full glass of water on an empty stomach . C. Side effects of alendronate sodium include leukopenia . D. Alendronate sodium should be taken with calcium - containing foods to increase absorption . B

A nurse is preparing a community education program about reducing the risk of osteoporosis . Which of the following pieces of information should the nurse include ?

A. Avoid sun exposure . B. Take a calcium supplement once each day if at risk for osteoporosis . C. Walking is the preferred mode of exercise to maintain strong bones . D. Caffeine intake minimizes the risk of developing osteoporosis . C

A nurse is talking with an older adult client who has an elevated risk for osteoporosis about strategies for preventing bone loss . Which of the following instructions should the nurse provide?

A. Begin a program of brisk walking B. Take 800 mg of calcium per day C. Drink plenty of sparkling water D. Drink 8 oz of red wine each day A

raloxifene Which of the following findings in the client's medical record should the nurse identify as a A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for contraindication to receiving this medication ?

A. Breast cancer B. History of deep - vein thrombosis ( DVT ) C. Allergy to calcitonin D. Current diagnosis of cholecystitis B

A nurse is assessing an older adult client . Which of the following findings should the nurse report to the provider ?

A. Decreased cough reflex B. Decreased urinary bladder capacity C. Decreased sebum production D. Decreased spinal column movement D

A nurse is reviewing the medical record of a female client . Which of the following findings should the nurse identify as a risk factor for osteoporosis ?

A. Decreased intake of phosphate - containing foods B. Spending several hours in the sun daily . C. Increased estrogen levels D. History of anorexia nervosa D

A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements . Which of the following foods should the nurse recommend to promote calcium absorption ?

A. Fortified milk B. Ripe bananas C. Steamed broccoli D. Green leafy vegetables A

A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis . The client has a new prescription for alendronate sodium . Which of the following findings in the client's history should the nurse recognize is a contraindication to this medication ?

A. Glaucoma B. Paget's disease C. Esophageal achalasia D. Long - term corticosteroid use C

A nurse in a provider's office is reviewing a client's ages . Which of the following pieces of information should the nurse provide about medication history . The client asks the nurse if she should begin taking high - dose vitamins as she high doses of vitamin supplements ?

A. High doses of water - soluble vitamins enhance their therapeutic actions B. High doses of water - soluble vitamins can have adverse effects . C. High doses of vitamin supplements are restricted to use during pregnancy . D. Tolerance might develop , resulting in an increased vitamin need. B

A nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement . The nurse notes that the client reports also taking a multivitamin daily . Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity ?

A. Hyperkalemia B. Hypermagnesemia C. Hypercalcemia D. Hypernatremia C

A nurse is planning a smoking cessation program for women of childbearing age . Which of the following risks is associated with smoking during pregnancy ?

A. Infant developmental delays B. Maternal osteoporosis C. Maternal ulcers D. Infant lung cancer A

A nurse is assessing a client who has several risk factors for osteoporosis . Which of the following findings indicates that the client requires further evaluation for this disorder ?

A. Leg cramps with exercise B. Stress incontinence C. Abdominal distention . D. Lower back pain D

A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin . The nurse should identify that the provider has prescribed these medications for which of the following reasons ?

A. Long - term use to reduce the risk of breast cancer B. Short - term use to stimulate the endometrium C. Long - term use to prevent osteoporosis D. Short - term use to control urogenital atrophy D

A nurse is preparing to administer raloxifene to a client . Which of the following conditions is a contraindication for the administration of this medication ?

A. Osteoporosis B. Hyperthyroidism C. Myocardial infarction D. Deep - vein thrombosis D

A nurse in a provider's office is measuring a client and notes a loss in height from the previous year . The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders ?

A. Osteoporosis B. Scoliosis C. Kyphosis D. Lordosis A

A nurse is teaching a client who has osteoporosis . Which of the following instructions should the nurse include in the teaching ?

A. Reduce dietary protein intake B. Apply ice to painful areas C. Increase calcium intake to 900 mg per day D. Perform weight - bearing exercises D

prescription for sumatriptan . Which of the following factors in the client's medical A nurse is reviewing the medical record for a client who has a migraine and a history should the nurse identify as a contraindication to receiving sumatriptan ?

A. Renal impairment B. Ischemic heart disease . C . Severe osteoporosis D. Cirrhosis B

A nurse is caring for a female client who has osteoporosis and is taking raloxifene . Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication ?

A. Severe leg cramps B. Urinary frequency C. Jaw pain D. Sudden onset of dyspnea D

A nurse is determining a client's risk of developing osteoporosis . The nurse should identify which of the following as risk factors for bone loss ? ( Select all that apply . )

A. Small body frame B. Hypertension C. African - American ethnicity D. Low vitamin D intake E. Smoking A,D,E

A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long - term prednisone therapy . The nurse should instruct the client to monitor for which of the following adverse effects ?

A. Stress fractures B. Orthostatic hypotension C. Gingival ulcerations D. Weight loss A

A nurse is teaching a client prednisone for long - term therapy . The nurse should instruct the client to report which of the following as an who has severe generalized rheumatoid arthritis and is scheduled to start taking adverse effect of prednisone ?

A. Thrombosis B. Immunosuppression C. Gastric ulceration . D. Liver toxicity C

A nurse is planning care for a client who has a wound infection following abdominal surgery . To promote healing and fight infection , which of the following vitamins and minerals should the nurse plan to increase in the client's diet ?

A. Vitamin C and zinc B. Vitamin D 4 C. Vitamin K and iron D. Calcium A

A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long - term treatment of Addison's disease . Which of the following findings indicates that the client is experiencing an adverse effect of the medication ?

A. Weight loss B. Hypotension C. . Lethargy D. Osteoporosis D