A nurse is collecting data from a female client during an initial health assessment. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Applies an estrogen vaginal cream daily

Includes canned sardines in her diet

Walks 30 min per day

Uses a beclomethasone inhaler

Answer and Explanation

The Correct Answer is D

Choice A rationale: Applying an estrogen vaginal cream daily is not a risk factor for osteoporosis. In fact, estrogen can help maintain bone density.

Choice B rationale: Including canned sardines in the diet provides calcium and vitamin D, which are beneficial for bone health.

Choice C rationale: Walking 30 minutes per day is a weight-bearing exercise that helps maintain bone density and is beneficial for preventing osteoporosis.

Choice D rationale: Using a beclomethasone inhaler (a corticosteroid) can be a risk factor for osteoporosis, especially if used long-term, as corticosteroids can lead to bone loss.

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Correct Answer is B

Explanation

BUN 40 mg/dL. Elevated BUN levels can indicate impaired kidney function, which can be a potential adverse effect of long-term NSAID therapy.

Reasons why the other options are not answers:

Option A: Total bilirubin 0.8 mg/dL is a normal value and does not require reporting to the provider.

Option C: PaO2 90 mm Hg is within the normal range and does not require reporting to the provider.

Option D: Hematocrit 45% is within the normal range and does not require reporting to the provider.

A. The client walks 3.2 km (2 mi) daily. B. The client is a gardener. C. The client is lactose intolerant. D. The client has a glass of red wine every evening.

Correct Answer is C

Explanation

The correct answer is choice C. The client's lactose intolerance places her at an increased risk for osteoporosis, as dairy products are a rich source of calcium and vitamin D, which are important for bone health. Walking daily and gardening may actually help to reduce the risk of osteoporosis, as physical activity can help to strengthen bones. Drinking red wine in moderation may provide some benefits for cardiovascular health and may not necessarily increase the risk of osteoporosis.
Reason why each of the other choices are not answers:

A is not correct because walking daily can help to improve bone health and reduce the risk of osteoporosis.

B is not correct because gardening can also provide physical activity and help to reduce the risk of osteoporosis.

D is not correct because propranolol does not typically cause increased hair growth, and requesting a dosage increase based on apical heart rate may not be necessary for all clients taking this medication.

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A nurse is collecting data from a female client during an initial health assessment. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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