A nurse in a health clinic is collecting data from an older adult patient.
Which piece of information in the patient’s history increases their risk for osteoporosis?
The patient enjoys a glass of red wine every evening.
The patient walks 3.2 km (2 mi) daily.
The patient is lactose intolerant.
The patient is a gardener.
The Correct Answer is C
Choice A rationale
Enjoying a glass of red wine every evening is not directly linked to an increased risk of osteoporosis. While excessive alcohol consumption can contribute to bone loss, moderate consumption (up to one drink per day for women and up to two drinks per day for men) does not appear to significantly affect bone mineral density.
Choice B rationale
Regular physical activity, such as walking, is actually beneficial for bone health. Weight-bearing exercises, including walking, can help increase bone density and reduce the risk of osteoporosis.
Choice C rationale
Lactose intolerance can increase the risk of osteoporosis. Individuals with lactose intolerance often avoid dairy products, which are a major source of dietary calcium. Calcium is essential for bone health, and inadequate calcium intake can lead to decreased bone density and an increased risk of osteoporosis.
Choice D rationale
Gardening is a form of physical activity, and like walking, it can help increase bone density and reduce the risk of osteoporosis. There is no evidence to suggest that gardening increases the risk of osteoporosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Accepting that sexual activity will decrease does not necessarily indicate acceptance of a new altered body image. It may reflect a misunderstanding or fear about the impact of the colostomy.
Choice B rationale
Denying feelings of sadness about the ostomy does not necessarily indicate acceptance of a new altered body image. It may suggest that the patient is not fully acknowledging the emotional impact of the change.
Choice C rationale
Participating in performing ostomy care is a positive sign that the patient has accepted their new altered body image. It shows that the patient is taking an active role in their care and adapting to the change.
Choice D rationale
Preferring not to look at the stoma site does not indicate acceptance of a new altered body image. It may suggest avoidance or denial.
Correct Answer is A
Explanation
Comparing the current blood pressure reading to the preoperative value is the first step the nurse should take. This will help determine if the patient’s blood pressure has significantly dropped, which could indicate hypovolemia or shock.
Choice B rationale
Covering the patient with a warm blanket may be helpful if the patient is feeling cold or showing signs of hypothermia, but it would not address the underlying cause of the low blood pressure.
Choice C rationale
Increasing the IV flow rate might be necessary if the patient is hypovolemic, but this decision should be based on additional assessment data and physician orders.
Choice D rationale
Reassuring the patient is important, but it should not be the first action. The nurse needs to assess and address the cause of the low blood pressure.
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