A nurse is talking with a client who has osteoporosis and needs to increase her vitamin D intake as part of her treatment plan. Which of the following recommendations should the nurse reinforce with the client to help ensure an adequate intake of vitamin D?
Spend time outdoors every day to increase your body's production of vitamin D
Reduce the amount of cereal in your diet
Increase intake of dietary calcium
Add a regular exercise routine
The Correct Answer is A
Choice A reason: Vitamin D is a fat-soluble vitamin that helps the body absorb calcium and phosphorus, which are essential for bone health. The main source of vitamin D is exposure to sunlight, which triggers the skin to produce it. The nurse should advise the client to spend at least 15 minutes outdoors every day, preferably in the morning or evening, when the sun is not too strong. The client should also wear sunscreen and protective clothing to prevent sunburn and skin damage.
Choice B reason: Reducing the amount of cereal in the diet is not a good recommendation for increasing vitamin D intake. Cereal is often fortified with vitamin D and other nutrients, such as iron and folic acid. The nurse should encourage the client to choose cereals that are high in vitamin D and low in sugar and fat. The client should also consume other foods that are rich in vitamin D, such as fatty fish, egg yolks, cheese, and mushrooms.
Choice C reason: Increasing intake of dietary calcium is important for preventing and treating osteoporosis, but it does not directly affect vitamin D intake. Calcium is a mineral that helps build and maintain strong bones and teeth. The nurse should recommend the client to consume foods that are high in calcium, such as dairy products, leafy greens, nuts, and tofu. The client should also take a calcium supplement if needed, as prescribed by the provider.
Choice D reason: Adding a regular exercise routine is beneficial for improving overall health and well-being, but it does not directly influence vitamin D intake. Exercise helps strengthen the muscles and bones, prevent falls and fractures, and reduce the risk of chronic diseases. The nurse should suggest the client to engage in moderate physical activity for at least 30 minutes a day, three times a week. The client should choose exercises that are appropriate for their age and fitness level, such as walking, swimming, or yoga.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Weight-bearing exercise, such as walking, jogging, or dancing, helps to strengthen the bones and prevent osteoporosis. It also improves muscle strength, balance, and coordination, which can reduce the risk of falls and fractures.
Choice B reason: Having a bone density scan every year is not necessary for a young adult client who has a family history of osteoporosis. A bone density scan is a test that measures the amount of calcium and other minerals in the bones. It is usually recommended for women over 65 years old, men over 70 years old, or people who have risk factors for osteoporosis, such as low body weight, smoking, or steroid use.
Choice C reason: Taking a magnesium supplement every day is not a proven way to prevent osteoporosis. Magnesium is a mineral that is involved in bone formation and metabolism, but there is not enough evidence to support its role in preventing or treating osteoporosis. A balanced diet that includes foods rich in calcium, vitamin D, and other nutrients is more effective for bone health.
Choice D reason: Drinking a cup of coffee every morning is not a good idea for a young adult client who has a family history of osteoporosis. Coffee contains caffeine, which can interfere with the absorption of calcium and increase the excretion of calcium in the urine. This can lead to lower bone density and higher risk of osteoporosis. Moderate coffee consumption (one or two cups per day) may not have a significant effect on bone health, but excessive coffee intake (more than four cups per day) should be avoided.
Correct Answer is A
Explanation
Choice A reason: Gradual loss of peripheral vision is a characteristic symptom of open-angle glaucoma, which is the most common type of glaucoma. It occurs when the drainage angle of the eye becomes blocked, causing increased intraocular pressure and damage to the optic nerve.
Choice B reason: Gradual loss of central vision is more typical of age-related macular degeneration, which is a condition that affects the macula, the central part of the retina. It is not a symptom of open-angle glaucoma.
Choice C reason: Sudden headache and nausea are signs of acute angle-closure glaucoma, which is a medical emergency that requires immediate treatment. It occurs when the drainage angle of the eye suddenly closes, causing a rapid rise in intraocular pressure and severe pain.
Choice D reason: Cloudy blurred vision is a symptom of cataract, which is a condition that causes the lens of the eye to become cloudy and opaque. It is not a symptom of open-angle glaucoma.
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