A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

Aging

Secondhand smoke

Obesity

Caffeine intake

Answer and Explanation

Correct Answer : A,B,D

A. Aging increases the risk for osteoporosis due to natural bone density loss over time.

B. Secondhand smoke contributes to bone loss and increases the risk for osteoporosis.

C. Obesity is not a known risk factor for osteoporosis; in fact, being overweight may have a protective effect on bone density.

D. Caffeine intake is associated with increased calcium loss, which can contribute to osteoporosis.

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Correct Answer is B

Explanation

A. Inspecting for the presence of clubbing is related to chronic respiratory or cardiac conditions, not ataxia.

B. Performing a Romberg's test evaluates balance and proprioception, which is important for assessing the ability to ambulate safely in a person with ataxia.

C. Observing for the presence of Kernig's sign is used to assess for meningeal irritation, not ataxia.

D. Checking the function of cranial nerve V is related to sensation and motor function of the jaw, not to assessing ambulation or balance.

A. Lateral segment of the right lower lobe B. Lateral segment of the left lower lobe C. Posterior segment of the right middle lobe D. Posterior segment of the right lower lobe

Correct Answer is A

Explanation

A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.

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A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?

Correct Answer is B

Explanation

A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

Correct Answer is A

Explanation

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

A nurse is reviewing the laboratory findings for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following findings should the nurse expect to be decreased?

A nurse is caring for a client who has a fractured tibia as a result of a fall. The client’s x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures?

A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?