A nurse is collecting data from a female client who is postmenopausal. Which of the following findings should the nurse identify as a risk factor for the development of osteoporosis?
Monthly vitamin B12 injections
History of kidney stones
Long-term use of prednisone
Congenital heart murmur
The Correct Answer is C
A. Monthly vitamin B12 injections: This is incorrect as vitamin B12 injections are not associated with osteoporosis. They are often used to address vitamin B12 deficiency, which is not a direct risk factor for osteoporosis.
B. History of kidney stones: This is incorrect because while kidney stones can be associated with calcium metabolism issues, they are not a primary risk factor for osteoporosis.
C. Long-term use of prednisone: This is correct as long-term use of corticosteroids like prednisone can lead to decreased bone density and increased risk of osteoporosis due to their impact on bone metabolism.
D. Congenital heart murmur: This is incorrect as a congenital heart murmur is not related to the development of osteoporosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased bronchospasms: Metoprolol, a beta-blocker, does not typically decrease bronchospasms and may actually exacerbate them in susceptible individuals.
B. Increased blood glucose level: Metoprolol does not generally increase blood glucose levels. However, it can mask hypoglycemic symptoms in diabetic patients.
C. Increased blood pressure: Metoprolol is used to lower blood pressure, not increase it.
D. Decreased heart rate: This is correct as metoprolol is a beta-blocker that reduces heart rate by blocking beta-adrenergic receptors.
Correct Answer is D
Explanation
A. Offer snacks that are high in sodium: This is incorrect as high sodium intake can exacerbate heart failure by increasing fluid retention and worsening symptoms.
B. Place the head of the client's bed flat: This is incorrect because elevating the head of the bed helps reduce shortness of breath and improves comfort in heart failure patients.
C. Monitor the client's weight once per week: This is incorrect; daily weight monitoring is recommended to detect fluid retention or loss, which can be critical in managing heart failure.
D. Provide rest periods throughout the day: This is correct as providing rest periods helps manage fatigue and reduce the workload on the heart, which is important in heart failure management.
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