A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

Perform weight bearing exercises 2 times per week.

Increase intake of caffeinated beverages.

Take 400 IU of vitamin D per day.

Limit calcium intake to 600 mg per dose.

Answer and Explanation

The Correct Answer is A

A.   Performing weight-bearing exercises, such as walking, jogging, or strength training, helps improve bone density and prevent osteoporosis-related fractures.
B.   Caffeine can increase calcium excretion in the urine and may negatively affect bone health, so it is not recommended for clients at risk for osteoporosis.
C.   Taking 400 IU of vitamin D per day may be insufficient for clients at risk for osteoporosis. Most guidelines recommend at least 800-1,000 IU of vitamin D daily.
D.   Limiting calcium intake to 600 mg per dose is not recommended. Calcium should be taken in doses of 500-600 mg to improve absorption and bone health.

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Correct Answer is A

Explanation

A. Barrett's esophagus is a complication of GERD and is associated with an increased risk of esophageal cancer. It is essential for the patient to follow up with a GI specialist for surveillance.
B. Pancreatic cancer is not directly related to GERD, so the nurse should not suggest watching for symptoms of this condition.
C. Diabetes risk is not directly increased by GERD. Therefore, follow-up with an endocrinologist is unnecessary unless the patient has other risk factors for diabetes.
D. Liver issues are not typically associated with GERD, so monitoring for liver problems would not be a primary concern in this case.

A. Presence of anti-cyclic citrullinated peptide (anti-CCP) antibodies B. Elevated rheumatoid factor (RF) levels C. Decreased erythrocyte sedimentation rate (ESR) D. Elevated C-reactive protein (CRP) levels

Correct Answer is D

Explanation

A. Anti-cyclic citrullinated peptide (anti-CCP) antibodies are specific for rheumatoid arthritis but are not necessarily linked to disease activity.
B. Elevated rheumatoid factor (RF) levels are common in rheumatoid arthritis but not always indicative of disease activity.
C. A decreased erythrocyte sedimentation rate (ESR) is typically a sign of less inflammation, not more.
D. Elevated C-reactive protein (CRP) levels are a direct marker of inflammation and are often correlated with increased disease activity in rheumatoid arthritis.

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A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Correct Answer is A

Explanation

A 55-year-old patient with rheumatoid arthritis is being evaluated for disease progression. Which of the following laboratory findings is most indicative of increased disease activity?

Correct Answer is D

Explanation

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