A nurse is talking with a young adult client who has a family history of osteoporosis, Which health promotion activity should the nurse recommend as a possible preventive measure?

Increase sodium intake.

Drink a cup of coffee each morning

Have a bone-density scan each year.

Engage in weight-bearing exercise regularly

Answer and Explanation

The Correct Answer is D

A. Increase sodium intake - This is not a preventive measure for osteoporosis. High sodium intake can lead to increased calcium excretion and weaken bones.

B. Drink a cup of coffee each morning - Caffeine consumption, especially in excess, can interfere with calcium absorption and increase calcium excretion. Limiting caffeine intake is recommended for bone health. Drinking coffee in moderation is acceptable but excessive consumption should be avoided.

C. Have a bone-density scan each year - While bone-density scans (DEXA scans) are useful for diagnosing osteoporosis or assessing bone health, they are not typically recommended for young adults with a family history of osteoporosis unless there are specific risk factors present. Yearly scans are unnecessary and not cost-effective for young adults without significant risk factors.

D. Engage in weight-bearing exercise regularly - Weight-bearing exercises, such as walking, jogging, dancing, and resistance training, help to increase bone density and strength. Regular physical activity, especially weight-bearing exercises, is a recommended preventive measure against osteoporosis.

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Correct Answer is B

Explanation

A. "I will need to drink apple cider vinegar each day."

This statement is incorrect. Drinking apple cider vinegar is not a proven method to prevent urinary tract infections (UTIs). The client does not need to consume apple cider vinegar as a preventive measure for UTIs.
B. “I will need to wipe my perineal area from back to front after urination."

This statement is incorrect and indicates a need for further teaching. Proper hygiene is essential in preventing UTIs, and wiping from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct technique is to wipe from front to back after urination to prevent the spread of bacteria.
C. “I need to drink 8 cups of liquid each day."

This statement is correct. Staying well-hydrated by drinking an adequate amount of fluids, such as 8 cups of liquid each day, can help flush out bacteria from the urinary tract and reduce the risk of UTIs. Proper hydration is a good preventive measure.
D. "I will need to empty my bladder regularly and completely.”

This statement is correct. Emptying the bladder regularly and completely helps prevent the accumulation of bacteria in the urinary tract. Incomplete emptying of the bladder can allow bacteria to multiply, increasing the risk of UTIs. Regular and thorough emptying of the bladder is an important preventive measure against UTIs.

A. Apply a moisture barrier ointment to the client's skin B. Check the client's skin every 8 hr for signs of breakdown C. Clean the client's skin and perineum with hot water after each episode of incontinence D. Request a prescription for the insertion of an indwelling urinary catheter

Correct Answer is A

Explanation

A. Apply a moisture barrier ointment to the client's skin
Applying a moisture barrier ointment creates a protective barrier on the skin, preventing prolonged exposure to moisture, which can lead to skin breakdown in individuals with urinary incontinence. Keeping the skin dry and protected is essential in preventing skin irritation and breakdown.

B. Check the client's skin every 8 hr for signs of breakdown - Skin should be assessed more frequently, ideally every 2-4 hours, especially in clients with urinary incontinence, to detect signs of breakdown early.

C. Clean the client's skin and perineum with hot water after each episode of incontinence - Hot water can be harsh on the skin and exacerbate irritation. It's recommended to use mild, warm water and gentle cleansing techniques. Harsh cleaning methods can damage the skin.

D. Request a prescription for the insertion of an indwelling urinary catheter - Indwelling urinary catheters pose an increased risk of infection and other complications. Catheters should only be used when absolutely necessary, and preventive measures should be taken to manage incontinence without catheterization whenever possible.

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A nurse is talking with a young adult client who has a family history of osteoporosis, Which health promotion activity should the nurse recommend as a possible preventive measure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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