A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis?
Raloxifene
Calcitonin
Allopurinol
Levothyroxine
The Correct Answer is A
Choice a) Raloxifene:
Raloxifene is part of a class of drugs known as selective estrogen-receptor modulators (SERMs). It works by imitating the beneficial effects of the hormone estrogen on your bones, helping to prevent bone loss and improve density. Therefore, it is used in the prevention and treatment of osteoporosis.
Choice b) Calcitonin:
Calcitonin is a hormone that a person’s thyroid gland produces. It helps regulate the amount of calcium in the body. For the treatment of postmenopausal osteoporosis, scientists typically extract calcitonin from salmon. This is because salmon calcitonin has a much higher potency than human calcitonin. Osteoclasts are cells in the body that degrade bone. Calcitonin can inhibit osteoclasts. This helps slow the loss of bone density and increases bone mass, hindering the progression of osteoporosis.
Choice c) Allopurinol:
Allopurinol is primarily used to treat gout and certain types of kidney stones. It is not typically used in the prevention or treatment of osteoporosis.
Choice d) Levothyroxine:
Levothyroxine is used to treat hypothyroidism (underactive thyroid). It is not typically used in the prevention or treatment of osteoporosis. However, if you are prescribed levothyroxine you should have regular blood tests, at least once a year, to ensure your thyroid hormone levels are not too high. Continuous high thyroid hormone levels may lead to developing or worsening of low bone density and osteoporosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Urine-specific gravity measures the concentration of urine compared to water. It can indicate various conditions affecting the kidneys, but it does not provide a direct measure of renal function. It can be affected by hydration status and does not specifically reflect kidney damage or disease.
Choice B reason:
Blood urea nitrogen (BUN) levels can indicate kidney health; however, BUN can also be influenced by factors such as protein intake, hydration, and liver function. Therefore, while it is a useful test, it is not the most specific indicator of renal function in isolation.
Choice C reason:
Serum sodium levels are important for assessing electrolyte balance and can be affected by kidney function. However, changes in serum sodium are not specific to kidney function alone and can result from a variety of conditions.
Choice D reason:
Serum creatinine is a waste product from the normal breakdown of muscle tissue. As the kidneys are responsible for filtering out creatinine, its level in the blood is a good indication of kidney function. Elevated levels of serum creatinine may indicate impaired kidney function or kidney disease. In the context of SLE, where kidney involvement is common, serum creatinine is a crucial marker for monitoring renal function.
Correct Answer is B
Explanation
Choice A reason:
The statement about using a natural membrane condom rather than a polyurethane condom is incorrect. Natural membrane condoms, such as those made from lambskin, have small pores that can allow viruses to pass through. Therefore, they are not recommended for the prevention of STIs. Polyurethane condoms, on the other hand, do not have these pores and are considered effective in preventing STIs, including HIV.
Choice B reason:
Female condoms, also known as internal condoms, are effective in preventing the transmission of sexually transmitted viruses, including HIV. They act as a barrier to prevent the exchange of bodily fluids during sexual activity, thereby reducing the risk of STI transmission. It's important to include this information in the teaching as it empowers individuals with an additional option for protection.
Choice C reason:
Condoms are designed for single use only. Using a condom more than once greatly increases the risk of condom failure, which can lead to the transmission of STIs or unintended pregnancy. It is crucial to emphasize the importance of using a new condom for each act of sexual intercourse.
Choice D reason:
Oil-based lubricants should not be used with latex condoms as they can weaken the material, leading to condom breakage. Instead, water-based or silicone-based lubricants are recommended as they do not damage the condom and can help prevent breakage.
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