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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Elevate legs on pillows when in bed: This is incorrect because elevating the legs can reduce blood flow in peripheral arterial disease, and it is generally advised to keep the legs at the level of the heart or lower to promote better circulation.
B. Apply heating pad for 15 min twice per day: This is incorrect because applying heat directly to the legs is not recommended as it can lead to burns or other complications, especially in patients with peripheral vascular issues.
C. Wear knee-high support hose during the day: This is incorrect because support hose can sometimes exacerbate symptoms of peripheral arterial disease by restricting blood flow. Compression stockings are generally not recommended.
D. Begin an exercise program that includes walking: This is correct because walking and other forms of exercise improve circulation and help alleviate symptoms of peripheral arterial disease by promoting better blood flow and cardiovascular health.

A. Ammonia 55 mcg/dL (10 to 80 mcg/dL) B. Platelets 60,000/mm³ (150,000 to 400,000/mm³) C. Aspartate aminotransferase 34 units/L (0 to 34 units/L) D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL)

Correct Answer is B

Explanation

A. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This value is within the normal range and does not indicate an immediate concern for a liver biopsy.
B. Platelets 60,000/mm³ (150,000 to 400,000/mm³): This value is significantly below the normal range and indicates thrombocytopenia, which increases the risk of bleeding during a liver biopsy and should be reported to the provider.
C. Aspartate aminotransferase 34 units/L (0 to 34 units/L): This value is on the upper limit of normal and generally does not require reporting unless there are other clinical concerns.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This value is at the upper limit of normal and does not require reporting unless there are additional symptoms or concerns.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has peripheral arterial disease. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?

Correct Answer is B

Explanation

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