Question 1

The nurse is caring for an older adult client who is taking calcium for the treatment of osteoporosis.Which statements will the nurse include when educating the client about this medication? Select all that apply.

Accepted Answer

A) Calcium gluconate and other calcium compounds are used to treat and prevent osteoporosis. Oral calcium supplements are best taken with meals or within 1 hour following meals. It is recommended that adults 50 years of age and over obtain at least 1,000-1,200 mg per day of elemental calcium. The most common adverse effect is hypercalcemia caused by taking too much of the supplement. Symptoms include lethargy, drowsiness, weakness, headache, anorexia, nausea and vomiting, increased urination, and thirst. Calcium supplementation is contraindicated in clients with ventricular fibrillation.
B) Calcium gluconate and other calcium compounds are used to treat and prevent osteoporosis. Oral calcium supplements are best taken with meals or within 1 hour following meals. It is recommended that adults 50 years of age and over obtain at least 1,000-1,200 mg per day of elemental calcium. The most common adverse effect is hypercalcemia caused by taking too much of the supplement. Symptoms include lethargy, drowsiness, weakness, headache, anorexia, nausea and vomiting, increased urination, and thirst. Calcium supplementation is contraindicated in clients with ventricular fibrillation.
C) Calcium gluconate and other calcium compounds are used to treat and prevent osteoporosis. Oral calcium supplements are best taken with meals or within 1 hour following meals. It is recommended that adults 50 years of age and over obtain at least 1,000-1,200 mg per day of elemental calcium. The most common adverse effect is hypercalcemia caused by taking too much of the supplement. Symptoms include lethargy, drowsiness, weakness, headache, anorexia, nausea and vomiting, increased urination, and thirst. Calcium supplementation is contraindicated in clients with ventricular fibrillation.
D) Calcium gluconate and other calcium compounds are used to treat and prevent osteoporosis. Oral calcium supplements are best taken with meals or within 1 hour following meals. It is recommended that adults 50 years of age and over obtain at least 1,000-1,200 mg per day of elemental calcium. The most common adverse effect is hypercalcemia caused by taking too much of the supplement. Symptoms include lethargy, drowsiness, weakness, headache, anorexia, nausea and vomiting, increased urination, and thirst. Calcium supplementation is contraindicated in clients with ventricular fibrillation.
E) Calcium gluconate and other calcium compounds are used to treat and prevent osteoporosis. Oral calcium supplements are best taken with meals or within 1 hour following meals. It is recommended that adults 50 years of age and over obtain at least 1,000-1,200 mg per day of elemental calcium. The most common adverse effect is hypercalcemia caused by taking too much of the supplement. Symptoms include lethargy, drowsiness, weakness, headache, anorexia, nausea and vomiting, increased urination, and thirst. Calcium supplementation is contraindicated in clients with ventricular fibrillation.

Question 2

The nurse identifies the nursing diagnosis of Imbalanced Nutrition as appropriate for a client with osteoporosis.Which client statement supports the use of this diagnosis when planning care?

Accepted Answer

A) The client who is allergic to dairy products may not take in much calcium, so focusing on diet would be a priority for this client. The statements about taking long walks, removing scatter rugs, and taking acetaminophen (Tylenol) for pain would not elicit the nursing diagnosis Imbalanced Nutrition.
B) The client who is allergic to dairy products may not take in much calcium, so focusing on diet would be a priority for this client. The statements about taking long walks, removing scatter rugs, and taking acetaminophen (Tylenol) for pain would not elicit the nursing diagnosis Imbalanced Nutrition.
C) The client who is allergic to dairy products may not take in much calcium, so focusing on diet would be a priority for this client. The statements about taking long walks, removing scatter rugs, and taking acetaminophen (Tylenol) for pain would not elicit the nursing diagnosis Imbalanced Nutrition.
D) The client who is allergic to dairy products may not take in much calcium, so focusing on diet would be a priority for this client. The statements about taking long walks, removing scatter rugs, and taking acetaminophen (Tylenol) for pain would not elicit the nursing diagnosis Imbalanced Nutrition.

Question 3

A nurse is caring for an adult client recently diagnosed with hypothyroidism.After reviewing the nursing admission assessment,on which documented findings should the nurse plan care for this client? Select all that apply.

Accepted Answer

A) Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.
B) Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.
C) Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.
D) Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.
E) Symptoms of hypothyroidism include fatigue, increased need for sleep, bradycardia, cold intolerance, ataxia and balance difficulties, and hypothermia. Hot flashes, tachycardia, and nausea are not symptoms of hypothyroidism.

Question 4

The nurse is providing care for a young adult client with exophthalmos.Which nursing diagnosis would be the most appropriate for this client?

Accepted Answer

A) Exophthalmos is a clinical manifestation associated with hyperthyroidism and may be a problem for a young client. The nurse would plan to assess self-esteem and make appropriate referrals. Activity intolerance and risk for injury are not particular to this medical diagnosis. The client's ability to cope could be an issue, but it would probably stem from the disturbed body image.
B) Exophthalmos is a clinical manifestation associated with hyperthyroidism and may be a problem for a young client. The nurse would plan to assess self-esteem and make appropriate referrals. Activity intolerance and risk for injury are not particular to this medical diagnosis. The client's ability to cope could be an issue, but it would probably stem from the disturbed body image.
C) Exophthalmos is a clinical manifestation associated with hyperthyroidism and may be a problem for a young client. The nurse would plan to assess self-esteem and make appropriate referrals. Activity intolerance and risk for injury are not particular to this medical diagnosis. The client's ability to cope could be an issue, but it would probably stem from the disturbed body image.
D) Exophthalmos is a clinical manifestation associated with hyperthyroidism and may be a problem for a young client. The nurse would plan to assess self-esteem and make appropriate referrals. Activity intolerance and risk for injury are not particular to this medical diagnosis. The client's ability to cope could be an issue, but it would probably stem from the disturbed body image.

Question 5

A client with new-onset atrial fibrillation appears very anxious.After reviewing the client's recent laboratory results,the nurse concludes that which might be causing the client's symptoms?

Accepted Answer

A) New-onset atrial fibrillation and anxiety are potential symptoms of hyperthyroidism. A TSH level above 5 mU/mL is considered high. The nurse can plan outcomes to relieve the client's anxiety based on this diagnosis. TSH 0.25 mU/mL is indicative of hypothyroidism. Hgb 13.8 g/dL and Hgb 11.0 g/dL are both normal hemoglobin levels.
B) New-onset atrial fibrillation and anxiety are potential symptoms of hyperthyroidism. A TSH level above 5 mU/mL is considered high. The nurse can plan outcomes to relieve the client's anxiety based on this diagnosis. TSH 0.25 mU/mL is indicative of hypothyroidism. Hgb 13.8 g/dL and Hgb 11.0 g/dL are both normal hemoglobin levels.
C) New-onset atrial fibrillation and anxiety are potential symptoms of hyperthyroidism. A TSH level above 5 mU/mL is considered high. The nurse can plan outcomes to relieve the client's anxiety based on this diagnosis. TSH 0.25 mU/mL is indicative of hypothyroidism. Hgb 13.8 g/dL and Hgb 11.0 g/dL are both normal hemoglobin levels.
D) New-onset atrial fibrillation and anxiety are potential symptoms of hyperthyroidism. A TSH level above 5 mU/mL is considered high. The nurse can plan outcomes to relieve the client's anxiety based on this diagnosis. TSH 0.25 mU/mL is indicative of hypothyroidism. Hgb 13.8 g/dL and Hgb 11.0 g/dL are both normal hemoglobin levels.

Question 6

A post-menopausal adult client is concerned about the development of osteoporosis and wants to begin preventative activities.Which statement by the nurse is appropriate?

Accepted Answer

A) Osteoporosis risk factors increase after menopause. Preventative activities include implementing weight-bearing exercise and beginning calcium supplements. It is not too late to begin prevention activities. Without additional information, it is not possible to determine if the client is a candidate for hormone replacement therapy. Generally, hormone replacement therapy is limited to those women who are experiencing vasomotor manifestations. The client in the scenario has two risk factors presented. Although a full analysis would be beneficial, it does not answer the client's request for information.
B) Osteoporosis risk factors increase after menopause. Preventative activities include implementing weight-bearing exercise and beginning calcium supplements. It is not too late to begin prevention activities. Without additional information, it is not possible to determine if the client is a candidate for hormone replacement therapy. Generally, hormone replacement therapy is limited to those women who are experiencing vasomotor manifestations. The client in the scenario has two risk factors presented. Although a full analysis would be beneficial, it does not answer the client's request for information.
C) Osteoporosis risk factors increase after menopause. Preventative activities include implementing weight-bearing exercise and beginning calcium supplements. It is not too late to begin prevention activities. Without additional information, it is not possible to determine if the client is a candidate for hormone replacement therapy. Generally, hormone replacement therapy is limited to those women who are experiencing vasomotor manifestations. The client in the scenario has two risk factors presented. Although a full analysis would be beneficial, it does not answer the client's request for information.
D) Osteoporosis risk factors increase after menopause. Preventative activities include implementing weight-bearing exercise and beginning calcium supplements. It is not too late to begin prevention activities. Without additional information, it is not possible to determine if the client is a candidate for hormone replacement therapy. Generally, hormone replacement therapy is limited to those women who are experiencing vasomotor manifestations. The client in the scenario has two risk factors presented. Although a full analysis would be beneficial, it does not answer the client's request for information.

Question 7

A nurse is working with a client who is attempting to lose weight.The client admits having difficulty being compliant with the diet prescribed by the healthcare provider.Which suggestion by the nurse might assist the client in being compliant with the prescribed diet?

Accepted Answer

A) Recording food intake, amount, location of eating, and situations that induce eating often helps the dieter to gain self-control. Eating is a social activity. Talking with others during mealtime promotes involvement. A meal should be slated to last only 20 minutes. Eating longer can promote eating more. A small nonfood reward can serve as an incentive for working toward a goal. Food rewards should be avoided.
B) Recording food intake, amount, location of eating, and situations that induce eating often helps the dieter to gain self-control. Eating is a social activity. Talking with others during mealtime promotes involvement. A meal should be slated to last only 20 minutes. Eating longer can promote eating more. A small nonfood reward can serve as an incentive for working toward a goal. Food rewards should be avoided.
C) Recording food intake, amount, location of eating, and situations that induce eating often helps the dieter to gain self-control. Eating is a social activity. Talking with others during mealtime promotes involvement. A meal should be slated to last only 20 minutes. Eating longer can promote eating more. A small nonfood reward can serve as an incentive for working toward a goal. Food rewards should be avoided.
D) Recording food intake, amount, location of eating, and situations that induce eating often helps the dieter to gain self-control. Eating is a social activity. Talking with others during mealtime promotes involvement. A meal should be slated to last only 20 minutes. Eating longer can promote eating more. A small nonfood reward can serve as an incentive for working toward a goal. Food rewards should be avoided.

Question 8

An older adult client with hyperthyroidism is not a candidate for surgery.Which treatment could be used to quickly reduce the clinical manifestations that the client is experiencing as a result of the disorder?

Accepted Answer

A) Hyperthyroidism in older clients is most often caused by Graves disease or toxic nodular goiter, which is diagnosed by subnormal or undetectable levels of TSH (thyroid-stimulating hormone). The treatment of choice is the ingestion of radioactive iodine, which is picked up by the thyroid tissue and then destroys the tissue. This treatment avoids surgery, anesthesia, and hospitalization. Surgical removal is reserved for clients with symptoms too severe for treatment with radioactive iodine or nodules suspicious for malignancy. Treatment with levothyroid (Synthroid) would worsen symptoms, and amiodarone (Cordarone) is an antiarrhythmic drug that has induced hyperthyroidism in some clients. Older clients with hyperthyroidism seldom present with the classic symptoms seen in younger clients, but older clients may develop cardiac dysrhythmias, weight loss, fatigue, and apathy, and do require treatment. A partial thyroidectomy is a surgical procedure, for which the client is not a candidate.
B) Hyperthyroidism in older clients is most often caused by Graves disease or toxic nodular goiter, which is diagnosed by subnormal or undetectable levels of TSH (thyroid-stimulating hormone). The treatment of choice is the ingestion of radioactive iodine, which is picked up by the thyroid tissue and then destroys the tissue. This treatment avoids surgery, anesthesia, and hospitalization. Surgical removal is reserved for clients with symptoms too severe for treatment with radioactive iodine or nodules suspicious for malignancy. Treatment with levothyroid (Synthroid) would worsen symptoms, and amiodarone (Cordarone) is an antiarrhythmic drug that has induced hyperthyroidism in some clients. Older clients with hyperthyroidism seldom present with the classic symptoms seen in younger clients, but older clients may develop cardiac dysrhythmias, weight loss, fatigue, and apathy, and do require treatment. A partial thyroidectomy is a surgical procedure, for which the client is not a candidate.
C) Hyperthyroidism in older clients is most often caused by Graves disease or toxic nodular goiter, which is diagnosed by subnormal or undetectable levels of TSH (thyroid-stimulating hormone). The treatment of choice is the ingestion of radioactive iodine, which is picked up by the thyroid tissue and then destroys the tissue. This treatment avoids surgery, anesthesia, and hospitalization. Surgical removal is reserved for clients with symptoms too severe for treatment with radioactive iodine or nodules suspicious for malignancy. Treatment with levothyroid (Synthroid) would worsen symptoms, and amiodarone (Cordarone) is an antiarrhythmic drug that has induced hyperthyroidism in some clients. Older clients with hyperthyroidism seldom present with the classic symptoms seen in younger clients, but older clients may develop cardiac dysrhythmias, weight loss, fatigue, and apathy, and do require treatment. A partial thyroidectomy is a surgical procedure, for which the client is not a candidate.

Question 9

A nurse is conducting a health history on an older adult client in a medical practice.Which assessment finding places the client at risk for osteoporosis?

Accepted Answer

A) Long-time use of corticosteroids is a risk factor for developing osteoporosis. Obesity is not a risk factor for osteoporosis. Skim milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis. A diet rich in shellfish and organ meats is high in purine, which may predispose the client to gout.
B) Long-time use of corticosteroids is a risk factor for developing osteoporosis. Obesity is not a risk factor for osteoporosis. Skim milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis. A diet rich in shellfish and organ meats is high in purine, which may predispose the client to gout.
C) Long-time use of corticosteroids is a risk factor for developing osteoporosis. Obesity is not a risk factor for osteoporosis. Skim milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis. A diet rich in shellfish and organ meats is high in purine, which may predispose the client to gout.
D) Long-time use of corticosteroids is a risk factor for developing osteoporosis. Obesity is not a risk factor for osteoporosis. Skim milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis. A diet rich in shellfish and organ meats is high in purine, which may predispose the client to gout.

Question 10

An adult client who resides in a long-term care facility is diagnosed with osteoporosis.The client has a history of falls and dementia.Which nursing intervention will best aid in meeting an outcome goal of injury prevention for this client?

Accepted Answer

A) Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. A nightlight is useful but is not the best means to prevent injury.
B) Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. A nightlight is useful but is not the best means to prevent injury.
C) Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. A nightlight is useful but is not the best means to prevent injury.
D) Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. A nightlight is useful but is not the best means to prevent injury.

Question 11

A nurse is caring for a client who weighs 209 pounds and is 1.67 meters tall.The nurse calculates the body mass index (BMI)of this client as ________.Round the answer to the nearest whole number.

Accepted Answer

The answer of A nurse is caring for a client...

Question 12

The nurse is preparing an education session for nurses who work in an endocrinology clinic caring for older adult clients.Which characteristic of hypothyroidism should the nurse include for this client group?

Accepted Answer

A) The nurse educator must emphasize that the diagnosis is often missed for this group of clients as the clinical manifestations are confused with symptoms of aging. Not all hypothyroidism is congenital, and it is inaccurate to state that older adult clients develop the disease due to congenital defects. Thyroid hormone is decreased in all clients with hypothyroidism. The older adult client will present with non-pitting edema.
B) The nurse educator must emphasize that the diagnosis is often missed for this group of clients as the clinical manifestations are confused with symptoms of aging. Not all hypothyroidism is congenital, and it is inaccurate to state that older adult clients develop the disease due to congenital defects. Thyroid hormone is decreased in all clients with hypothyroidism. The older adult client will present with non-pitting edema.
C) The nurse educator must emphasize that the diagnosis is often missed for this group of clients as the clinical manifestations are confused with symptoms of aging. Not all hypothyroidism is congenital, and it is inaccurate to state that older adult clients develop the disease due to congenital defects. Thyroid hormone is decreased in all clients with hypothyroidism. The older adult client will present with non-pitting edema.
D) The nurse educator must emphasize that the diagnosis is often missed for this group of clients as the clinical manifestations are confused with symptoms of aging. Not all hypothyroidism is congenital, and it is inaccurate to state that older adult clients develop the disease due to congenital defects. Thyroid hormone is decreased in all clients with hypothyroidism. The older adult client will present with non-pitting edema.

Question 13

The nurse suspects that a client is experiencing hypothyroidism.Which question should the nurse ask during the health history?

Accepted Answer

A) The client experiencing hypothyroidism has rough, dry skin. Smooth skin is associated with hyperthyroidism. Cool, clammy skin is found in clients with low blood sugar. Brown, shiny patches on the lower extremities are associated with poor circulation.
B) The client experiencing hypothyroidism has rough, dry skin. Smooth skin is associated with hyperthyroidism. Cool, clammy skin is found in clients with low blood sugar. Brown, shiny patches on the lower extremities are associated with poor circulation.
C) The client experiencing hypothyroidism has rough, dry skin. Smooth skin is associated with hyperthyroidism. Cool, clammy skin is found in clients with low blood sugar. Brown, shiny patches on the lower extremities are associated with poor circulation.
D) The client experiencing hypothyroidism has rough, dry skin. Smooth skin is associated with hyperthyroidism. Cool, clammy skin is found in clients with low blood sugar. Brown, shiny patches on the lower extremities are associated with poor circulation.

Question 14

A nurse is educating a group of adults about the risks for osteoporosis.Which statements will the nurse include when discussing the use of alcohol and cigarettes? Select all that apply.

Accepted Answer

A) Both cigarette smoking and excess alcohol intake are risk factors for osteoporosis. Smoking decreases the blood supply to bones, and nicotine slows the production of osteoblasts and impairs the absorption of calcium, contributing to decreased bone density. Alcohol has a direct toxic effect on osteoblast activity, suppressing bone formation during periods of alcohol intoxication. In addition, heavy alcohol use may be associated with nutritional deficiencies that contribute to osteoporosis. Interestingly, moderate alcohol consumption in postmenopausal women actually may increase bone mineral content, possibly by increasing levels of estrogen and calcitonin.
B) Both cigarette smoking and excess alcohol intake are risk factors for osteoporosis. Smoking decreases the blood supply to bones, and nicotine slows the production of osteoblasts and impairs the absorption of calcium, contributing to decreased bone density. Alcohol has a direct toxic effect on osteoblast activity, suppressing bone formation during periods of alcohol intoxication. In addition, heavy alcohol use may be associated with nutritional deficiencies that contribute to osteoporosis. Interestingly, moderate alcohol consumption in postmenopausal women actually may increase bone mineral content, possibly by increasing levels of estrogen and calcitonin.
C) Both cigarette smoking and excess alcohol intake are risk factors for osteoporosis. Smoking decreases the blood supply to bones, and nicotine slows the production of osteoblasts and impairs the absorption of calcium, contributing to decreased bone density. Alcohol has a direct toxic effect on osteoblast activity, suppressing bone formation during periods of alcohol intoxication. In addition, heavy alcohol use may be associated with nutritional deficiencies that contribute to osteoporosis. Interestingly, moderate alcohol consumption in postmenopausal women actually may increase bone mineral content, possibly by increasing levels of estrogen and calcitonin.
D) Both cigarette smoking and excess alcohol intake are risk factors for osteoporosis. Smoking decreases the blood supply to bones, and nicotine slows the production of osteoblasts and impairs the absorption of calcium, contributing to decreased bone density. Alcohol has a direct toxic effect on osteoblast activity, suppressing bone formation during periods of alcohol intoxication. In addition, heavy alcohol use may be associated with nutritional deficiencies that contribute to osteoporosis. Interestingly, moderate alcohol consumption in postmenopausal women actually may increase bone mineral content, possibly by increasing levels of estrogen and calcitonin.
E) Both cigarette smoking and excess alcohol intake are risk factors for osteoporosis. Smoking decreases the blood supply to bones, and nicotine slows the production of osteoblasts and impairs the absorption of calcium, contributing to decreased bone density. Alcohol has a direct toxic effect on osteoblast activity, suppressing bone formation during periods of alcohol intoxication. In addition, heavy alcohol use may be associated with nutritional deficiencies that contribute to osteoporosis. Interestingly, moderate alcohol consumption in postmenopausal women actually may increase bone mineral content, possibly by increasing levels of estrogen and calcitonin.

Question 15

The nurse is assessing an older adult postmenopausal client.Which question should the nurse ask to assess for signs of osteoporosis?

Accepted Answer

A) A client with osteoporosis will often present with low back pain as well as a decrease in height. Palpitations, constipation, and swelling are not early signs of osteoporosis.
B) A client with osteoporosis will often present with low back pain as well as a decrease in height. Palpitations, constipation, and swelling are not early signs of osteoporosis.
C) A client with osteoporosis will often present with low back pain as well as a decrease in height. Palpitations, constipation, and swelling are not early signs of osteoporosis.
D) A client with osteoporosis will often present with low back pain as well as a decrease in height. Palpitations, constipation, and swelling are not early signs of osteoporosis.

Question 16

The home health nurse is visiting a 3-month-old infant diagnosed with congenital hypothyroidism who has been prescribed a daily dose of thyroxine.Due to digestive issues,the infant consumes soy formula and is at the 50th percentile for height and weight.Based on this data,which statement by the nurse to the mother is appropriate?

Accepted Answer

A) Soybeans may block thyroid hormone synthesis if consumed in sufficient quantities, which could occur in babies who are given soy-based formula. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.
B) Soybeans may block thyroid hormone synthesis if consumed in sufficient quantities, which could occur in babies who are given soy-based formula. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.
C) Soybeans may block thyroid hormone synthesis if consumed in sufficient quantities, which could occur in babies who are given soy-based formula. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.
D) Soybeans may block thyroid hormone synthesis if consumed in sufficient quantities, which could occur in babies who are given soy-based formula. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.

Question 17

The nurse is planning care for a female adult client who is high-risk for developing osteoporosis.Which interventions will decrease the client's risk of developing this health problem? Select all that apply.

Accepted Answer

A) Interventions that may decrease this client's risk of developing osteoporosis include regular weight-bearing exercise, such as walking, as this activity slows bone loss. Other intervention include encouraging clients to consume adequate amounts of calcium and vitamin D in their diets to prevent osteoporotic fracture. A BMD test is used to determine bone strength and risk for osteoporotic fracture. This test will monitor the client's risk for fracture but it does not decrease the client's risk for developing osteoporosis Measures to prevent or treat osteoporosis include limiting the intake of beverages containing alcohol, caffeine, and phosphorus. Isometric exercises are not effective against osteoporosis.
B) Interventions that may decrease this client's risk of developing osteoporosis include regular weight-bearing exercise, such as walking, as this activity slows bone loss. Other intervention include encouraging clients to consume adequate amounts of calcium and vitamin D in their diets to prevent osteoporotic fracture. A BMD test is used to determine bone strength and risk for osteoporotic fracture. This test will monitor the client's risk for fracture but it does not decrease the client's risk for developing osteoporosis Measures to prevent or treat osteoporosis include limiting the intake of beverages containing alcohol, caffeine, and phosphorus. Isometric exercises are not effective against osteoporosis.
C) Interventions that may decrease this client's risk of developing osteoporosis include regular weight-bearing exercise, such as walking, as this activity slows bone loss. Other intervention include encouraging clients to consume adequate amounts of calcium and vitamin D in their diets to prevent osteoporotic fracture. A BMD test is used to determine bone strength and risk for osteoporotic fracture. This test will monitor the client's risk for fracture but it does not decrease the client's risk for developing osteoporosis Measures to prevent or treat osteoporosis include limiting the intake of beverages containing alcohol, caffeine, and phosphorus. Isometric exercises are not effective against osteoporosis.
D) Interventions that may decrease this client's risk of developing osteoporosis include regular weight-bearing exercise, such as walking, as this activity slows bone loss. Other intervention include encouraging clients to consume adequate amounts of calcium and vitamin D in their diets to prevent osteoporotic fracture. A BMD test is used to determine bone strength and risk for osteoporotic fracture. This test will monitor the client's risk for fracture but it does not decrease the client's risk for developing osteoporosis Measures to prevent or treat osteoporosis include limiting the intake of beverages containing alcohol, caffeine, and phosphorus. Isometric exercises are not effective against osteoporosis.
E) Interventions that may decrease this client's risk of developing osteoporosis include regular weight-bearing exercise, such as walking, as this activity slows bone loss. Other intervention include encouraging clients to consume adequate amounts of calcium and vitamin D in their diets to prevent osteoporotic fracture. A BMD test is used to determine bone strength and risk for osteoporotic fracture. This test will monitor the client's risk for fracture but it does not decrease the client's risk for developing osteoporosis Measures to prevent or treat osteoporosis include limiting the intake of beverages containing alcohol, caffeine, and phosphorus. Isometric exercises are not effective against osteoporosis.

Question 18

A client with exophthalmos is pictured below.Which conclusion by the nurse is appropriate?

Accepted Answer

A) Exophthalmos is a condition associated with Graves disease, caused by hyperthyroidism. Treatment for this condition may stabilize the symptoms but does not reverse them. Hashimoto thyroiditis is condition of hypothyroidism, not hyperthyroidism. Women with this condition may have problems with fertility.
B) Exophthalmos is a condition associated with Graves disease, caused by hyperthyroidism. Treatment for this condition may stabilize the symptoms but does not reverse them. Hashimoto thyroiditis is condition of hypothyroidism, not hyperthyroidism. Women with this condition may have problems with fertility.
C) Exophthalmos is a condition associated with Graves disease, caused by hyperthyroidism. Treatment for this condition may stabilize the symptoms but does not reverse them. Hashimoto thyroiditis is condition of hypothyroidism, not hyperthyroidism. Women with this condition may have problems with fertility.
D) Exophthalmos is a condition associated with Graves disease, caused by hyperthyroidism. Treatment for this condition may stabilize the symptoms but does not reverse them. Hashimoto thyroiditis is condition of hypothyroidism, not hyperthyroidism. Women with this condition may have problems with fertility.

Question 19

A community health nurse is educating a group of adults about obesity and weight management.Which statements will the nurse include regarding upper body obesity? Select all that apply.

Accepted Answer

A) Upper body obesity (also called central obesity) is identified by a waist-to-hip ratio of greater than 1 in men or 0.8 in women. Upper body obesity is associated with a greater risk of complications such as hypertension, abnormal blood lipid levels, heart disease, stroke, and elevated insulin levels. Men tend to have more intra-abdominal fat than women, although women develop a central fat distribution pattern after menopause.
B) Upper body obesity (also called central obesity) is identified by a waist-to-hip ratio of greater than 1 in men or 0.8 in women. Upper body obesity is associated with a greater risk of complications such as hypertension, abnormal blood lipid levels, heart disease, stroke, and elevated insulin levels. Men tend to have more intra-abdominal fat than women, although women develop a central fat distribution pattern after menopause.
C) Upper body obesity (also called central obesity) is identified by a waist-to-hip ratio of greater than 1 in men or 0.8 in women. Upper body obesity is associated with a greater risk of complications such as hypertension, abnormal blood lipid levels, heart disease, stroke, and elevated insulin levels. Men tend to have more intra-abdominal fat than women, although women develop a central fat distribution pattern after menopause.
D) Upper body obesity (also called central obesity) is identified by a waist-to-hip ratio of greater than 1 in men or 0.8 in women. Upper body obesity is associated with a greater risk of complications such as hypertension, abnormal blood lipid levels, heart disease, stroke, and elevated insulin levels. Men tend to have more intra-abdominal fat than women, although women develop a central fat distribution pattern after menopause.
E) Upper body obesity (also called central obesity) is identified by a waist-to-hip ratio of greater than 1 in men or 0.8 in women. Upper body obesity is associated with a greater risk of complications such as hypertension, abnormal blood lipid levels, heart disease, stroke, and elevated insulin levels. Men tend to have more intra-abdominal fat than women, although women develop a central fat distribution pattern after menopause.

Question 20

A young adult client is concerned because the healthcare provider states that the client is demonstrating signs consistent with early onset of osteoporosis.Which health promotion activities are appropriate for this client?

Accepted Answer

A) Planning should be structured around self-care strategies that reduce clients' risk for developing osteoporosis and/or minimize its symptoms and effects. An appropriate goal for this client is a diet rich in calcium and vitamin D. Therefore, instructing the client to increase intake of these items is appropriate. Walking and weight-bearing exercise help prevent the onset of osteoporosis; therefore, it is not appropriate to suggest that the client stop all physical activity. Dairy is rich in calcium, which is an appropriate food to consume. Reducing intake of dairy is not recommended. Due to the client's age, it is not likely that the client need estrogen replacement therapy at this time.
B) Planning should be structured around self-care strategies that reduce clients' risk for developing osteoporosis and/or minimize its symptoms and effects. An appropriate goal for this client is a diet rich in calcium and vitamin D. Therefore, instructing the client to increase intake of these items is appropriate. Walking and weight-bearing exercise help prevent the onset of osteoporosis; therefore, it is not appropriate to suggest that the client stop all physical activity. Dairy is rich in calcium, which is an appropriate food to consume. Reducing intake of dairy is not recommended. Due to the client's age, it is not likely that the client need estrogen replacement therapy at this time.
C) Planning should be structured around self-care strategies that reduce clients' risk for developing osteoporosis and/or minimize its symptoms and effects. An appropriate goal for this client is a diet rich in calcium and vitamin D. Therefore, instructing the client to increase intake of these items is appropriate. Walking and weight-bearing exercise help prevent the onset of osteoporosis; therefore, it is not appropriate to suggest that the client stop all physical activity. Dairy is rich in calcium, which is an appropriate food to consume. Reducing intake of dairy is not recommended. Due to the client's age, it is not likely that the client need estrogen replacement therapy at this time.
D) Planning should be structured around self-care strategies that reduce clients' risk for developing osteoporosis and/or minimize its symptoms and effects. An appropriate goal for this client is a diet rich in calcium and vitamin D. Therefore, instructing the client to increase intake of these items is appropriate. Walking and weight-bearing exercise help prevent the onset of osteoporosis; therefore, it is not appropriate to suggest that the client stop all physical activity. Dairy is rich in calcium, which is an appropriate food to consume. Reducing intake of dairy is not recommended. Due to the client's age, it is not likely that the client need estrogen replacement therapy at this time.

Quiz 12: Metabolism