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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["250"]
Explanation
To calculate the infusion rate, you first need to determine the total volume to be infused and the total time over which the infusion will occur.
Three 1L bags need to be infused over 12 hours.
Total volume = 3 bags * 1000 mL/bag = 3000 mL
Total time = 12 hours
Now, to find the rate in milliliters per hour (mL/h), divide the total volume by the total time:
Infusion rate = Total volume / Total time
Infusion rate = 3000 mL / 12 hours = 250 mL/h
Correct Answer is B
Explanation
A. Venous thromboembolism (VTE) - While VTE can cause leg pain and swelling, the presence of fever, chills, and localized trauma history in this scenario points more toward cellulitis.
B. Cellulitis
The client's symptoms, including pain, swelling, fever, chills, and sweating, are indicative of cellulitis, which is a bacterial skin infection. The history of trauma to the leg (hitting the leg on the car door) could have introduced bacteria into the skin, leading to the infection. The client's diabetes mellitus type 2 also increases the risk of developing skin infections due to impaired immune function and circulation. Cellulitis often presents with localized pain, swelling, warmth, redness, and systemic symptoms like fever and chills. Immediate medical evaluation and appropriate antibiotic treatment are necessary for cellulitis.
C. Arterial insufficiency - Arterial insufficiency typically presents with symptoms like intermittent claudication, rest pain, and non-healing wounds due to poor circulation. The symptoms described in the scenario are more consistent with an acute infection (cellulitis) rather than chronic arterial insufficiency.
D. Thrombocytopenia - Thrombocytopenia is a condition characterized by low platelet count and does not directly cause localized pain, swelling, and redness in the leg as described in the scenario.
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