A nurse in a provider's office is caring for a client.

Exhibits

The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)

Lactose intolerant

Smoking history

Vitamin D level

Phosphorous level

Alcohol use

Activity level

Answer and Explanation

Correct Answer : C,F

A.   Not directly related to osteoporosis risk. Lactose intolerance does not inherently increase the risk of osteoporosis.
B.   No history of smoking was reported by the client.
C.   The total 25-hydroxy D level is below the normal range, indicating insufficient vitamin D, which can increase the risk of osteoporosis.
D.   Normal phosphorus levels are found in the client's diagnostic results.
E.   The client reported not drinking alcohol, which is not a risk factor for osteoporosis.
F.   The client's sedentary lifestyle and inability to adhere to the exercise program contribute to a higher risk of osteoporosis due to reduced bone strength from lack of physical activity.

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Correct Answer is A

Explanation

A. Using a straw can increase the risk of aspiration for someone with dysphagia by bypassing the proper oral control needed for swallowing safely.
B. Adjusting the head of the bed to 90° is an appropriate position for someone with dysphagia during meals, promoting safer swallowing.
C. Taking frequent breaks while eating allows for safe swallowing and prevents fatigue.
D. Tucking the chin when swallowing is a proper technique for aiding safe swallowing for someone with dysphagia.

A. Turn the client onto their side. B. Help the client lie on the floor. C. Loosen the client's clothing. D. Move items in the room away from the client.

Correct Answer is B

Explanation

A. Turning the client onto their side helps prevent aspiration and ensures a clear airway but since the client is seated on a chair, they run the risk of getting a fall hence lying them down is the priority.
B. If a client has a seizure when seated, it is best to ensure their safety by lying them on the floor and moving any objects that can cuase injury.
C. Loosening clothing is important but not the priority over ensuring a clear airway.
D. Moving items away from the client is important to prevent injury, but ensuring airway safety comes first.

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A nurse in a provider's office is caring for a client. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse in a provider's office is caring for a client.

Exhibits

The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)