A clinic nurse is caring for a client with a history of osteoporosis. What diagnostic test will best allow the care team to assess the client's risk of fracture?
Bone densitometry.
Arthrography.
Bone scan.
Arthroscopy.
Vagus nerve.
The Correct Answer is A
Choice A rationale
Bone densitometry is a non-invasive test that measures bone mineral density (BMD). It helps to identify the presence of osteoporosis and assess fracture risk by comparing the patient's bone density to that of a healthy young adult. Low BMD indicates higher fracture risk. This test is essential for monitoring osteoporosis progression and guiding treatment decisions.
Choice B rationale
Arthrography involves injecting contrast dye into a joint before imaging with X-ray or MRI. It evaluates joint structures, such as cartilage, ligaments, and capsules, but it is not specifically designed to measure bone density or assess fracture risk.
Choice C rationale
A bone scan involves injecting a small amount of radioactive material into the bloodstream, which accumulates in areas of high bone activity. It detects bone abnormalities, such as fractures, infections, or tumors. However, it is not used for assessing bone density or fracture risk.
Choice D rationale
Arthroscopy is a minimally invasive surgical procedure that allows direct visualization of joint structures using a small camera. It is primarily used for diagnosing and treating joint problems, such as torn ligaments or cartilage, but it does not assess bone density or fracture risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Encouraging adequate water intake by the client is a general recommendation for maintaining hydration but does not address the client's fear of the EEG procedure, nor does it dispel misconceptions about electrical shock.
Choice B rationale
Distracting the client's attention from the test may provide temporary relief from anxiety but does not address or correct the client's specific fear related to being electrocuted during the EEG procedure.
Choice C rationale
Informing the client that they will not experience any electrical shock is crucial in dispelling the client's fear. An EEG measures electrical activity in the brain using sensors on the scalp; it does not involve delivering electrical shocks to the client.
Choice D rationale
Informing the client that they will experience only mild electrical shock is incorrect and could increase the client's fear. An EEG does not administer any form of electrical shock to the client; it is a non-invasive and painless procedure.
Correct Answer is D
Explanation
Choice A rationale
Interactive dressings are designed to interact with the wound environment to promote healing. These can include dressings that release medication or create an optimal moisture balance. They are not typically used for acutely inflamed and oozing skin lesions.
Choice B rationale
Passive dressings are protective covers that keep the wound clean and protected from external contaminants. They do not have additional properties to manage wound exudate or inflammation.
Choice C rationale
Protective dressings are generally used to shield wounds from further injury or contamination. They do not specifically address the needs of an oozing and inflamed lesion.
Choice D rationale
Occlusive dressings are designed to maintain a moist wound environment, which can aid in the healing of oozing wounds. They can also provide a barrier to external contaminants and help manage exudate effectively, making them suitable for acutely inflamed and oozing lesions.
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