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. Aspiration risk due to frequent coughing while eating is the priority as it can lead to aspiration pneumonia.
B. Blood pressure elevation may need attention but is secondary to the immediate risk of aspiration.
C. Nutritional intake is important, but immediate safety concerns like the risk of aspiration take precedence.
D. Leaning to the left side while sitting might indicate a motor deficit but doesn't present an immediate risk compared to aspiration.

A. Adjust the oxygen flow rate as needed to ease breathing. B. Antibiotic therapy should be taken for 10 days. C. Store the oxygen cylinder wrench with the oxygen tank. D. Ensure the oxygen delivery system is at least 8 feet from any heat source. E. Steroid medication should be taken in the morning. F. Antibiotic medication can be taken with or without food. G. The steroid dose will decrease each day.

Correct Answer is ["A","C"]

Explanation

A. Adjusting the oxygen flow rate helps maintain adequate oxygen levels, especially during exertion or increased dyspnea.
B. The antibiotics were discontinued on Day 4, so the duration of antibiotic therapy is not 10 days.
C. Storing the wrench with the oxygen tank ensures that it's readily available to adjust or replace the tank.
D. Placing the oxygen delivery system away from heat sources helps prevent potential fire hazards.
E. There is no specifications on the time to take steroid medications
F. The specific instructions for taking the antibiotics weren't provided in the scenario.
G. The scenario doesn't specify a decreasing dose regimen for the steroid medication.

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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.)

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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.)