A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?
Cardiac glycosides
Thyroid hormones
Anticoagulants
NSAIDs
The Correct Answer is B
Choice A reason: Cardiac glycosides are primarily used to treat heart conditions such as heart failure and atrial fibrillation. They do not typically affect bone density or contribute to osteoporosis.
Choice B reason: Thyroid hormones can increase the risk of osteoporosis, especially if taken in excess. Over-replacement of thyroid hormone can accelerate bone loss, leading to decreased bone density and increased fracture risk.
Choice C reason: Anticoagulants are used to prevent blood clots but are not generally associated with an increased risk of osteoporosis. Their primary side effects are related to bleeding and bruising.
Choice D reason: NSAIDs (nonsteroidal anti-inflammatory drugs) are used to reduce inflammation and pain. They do not typically affect bone density or contribute to osteoporosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Performing a rapid head-to-toe assessment is an essential step in triage, especially in a mass casualty incident like a tornado. However, this action alone does not prioritize the client for immediate treatment. The purpose of triage is to quickly categorize patients based on the severity of their injuries to ensure that those who need urgent care receive it first. While a rapid assessment is necessary, it is not the final step in the triage process.
Choice B reason:
Placing a red tag on the client’s upper body is the correct action. In the triage system, a red tag indicates that the patient has life-threatening injuries that require immediate medical attention. An open fracture, especially in a disaster scenario, poses a high risk of infection and significant blood loss, necessitating urgent care. The red tag helps first responders and medical personnel quickly identify and prioritize this patient for immediate treatment and transport.
Choice C reason:
Having the client’s wife drive him to the hospital is not advisable in a mass casualty situation. This action could delay the client’s access to necessary medical care and potentially worsen his condition. In disaster scenarios, it is crucial to use organized medical transport to ensure that patients receive appropriate care en route to the hospital. Additionally, the client with an open fracture needs stabilization and possibly immediate interventions that cannot be provided in a private vehicle.
Choice D reason:
Placing a yellow tag on the client’s upper body is incorrect. A yellow tag is used for patients who have serious but not immediately life-threatening injuries. These patients require medical attention but can wait a short time for treatment. An open fracture, due to the risk of severe complications, should be prioritized with a red tag. The yellow tag would not appropriately reflect the urgency of the client’s condition.
Correct Answer is A
Explanation
Choice A reason: I may have a dry mouth while taking this medication
Dry mouth is a common side effect of chlorpromazine, which is an antipsychotic medication used to treat various mental health conditions. This side effect occurs because chlorpromazine can reduce saliva production. Patients should be advised to maintain good oral hygiene and stay hydrated to manage this symptom.
Choice B reason: This medication may cause me to urinate frequently
Frequent urination is not a typical side effect of chlorpromazine. Instead, chlorpromazine can cause urinary retention, which is the inability to empty the bladder completely. Therefore, this statement does not indicate a correct understanding of the medication’s side effects.
Choice C reason: This medication will help me stop smoking
Chlorpromazine is not used to help people stop smoking. It is primarily prescribed for the treatment of schizophrenia, bipolar disorder, and other psychotic disorders. Medications specifically designed to aid smoking cessation include nicotine replacement therapies and other drugs like varenicline or bupropion.
Choice D reason: I should expect flu-like symptoms while taking this medication
Flu-like symptoms are not commonly associated with chlorpromazine. While some side effects can mimic flu symptoms, such as fatigue or muscle aches, they are not typical and should be reported to a healthcare provider if they occur. This statement does not reflect a correct understanding of the medication’s expected side effects.
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