A nurse is teaching a client who is at risk for osteoporosis.
Which of the following instructions should the nurse include?
Perform moderate-intensity exercise for 150 min per week.
Perform vigorous exercise at least 2 times per week.
Take 400 IU of vitamin D supplement each day.
Take 250 mg of a calcium supplement each day.
The Correct Answer is A
Choice A rationale:
The CDC and other health organizations recommend at least 150 minutes of moderate-intensity aerobic exercise per week for overall health, which includes benefits for bone health. Weight-bearing exercises are particularly important for preventing osteoporosis.
Choice B rationale:
Performing vigorous exercise at least 2 times per week is generally recommended for maintaining cardiovascular health and overall fitness. However, for a client at risk for osteoporosis, the primary focus should be on calcium and vitamin D intake to support bone health and density. Vigorous exercise alone may not provide the necessary nutrients for bone health.
Choice C rationale:
Taking 400 IU of vitamin D supplement each day is a reasonable recommendation to support bone health, as vitamin D is essential for calcium absorption. However, the primary concern for a client at risk for osteoporosis is calcium intake. While vitamin D is important, calcium supplementation is more critical for addressing this specific issue.
Choice D rationale:
The RDA for calcium is generally 1,000 mg for adults up to age 50 and 1,200 mg for women over 50 and men over 70. For someone at risk of osteoporosis, ensuring adequate calcium intake is essential for bone health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Trust vs. Mistrust is the first stage of Erikson's theory of psychosocial development and typically occurs in infancy. It is characterized by the child's development of trust or mistrust based on the caregiver's reliability and care. This stage is not relevant to an adolescent who is rebelling against caregivers and spending more time with friends.
Choice B rationale:
Identity vs. Role Confusion is the stage of Erikson's theory that corresponds to adolescence. During this stage, adolescents seek to establish a sense of identity and may experiment with different roles and behaviors. They often question who they are and what they want to become. Rebelling against caregivers and seeking independence are common characteristics of this stage.
Choice C rationale:
Integrity vs. Despair is the final stage of Erikson's theory and occurs in late adulthood. It involves reflecting on one's life and coming to terms with the choices made. It is not relevant to the situation of an adolescent client.
Choice D rationale:
Autonomy vs. Shame and Doubt is the stage that typically occurs in early childhood, where children are developing a sense of independence and autonomy. This stage is not relevant to the adolescent client's experience of rebellion and seeking autonomy.
Correct Answer is C
Explanation
Choice A rationale:
An increase in skin thinning is not a typical age-related change in the skin. In older adults, skin tends to become thinner due to a decrease in subcutaneous tissue, making it more fragile and susceptible to damage.
Choice B rationale:
An increase in skin elasticity is not a common characteristic of aging skin. In fact, older adults often experience a decrease in skin elasticity, leading to wrinkles and sagging skin.
Choice D rationale:
While there may be changes in blood supply to the skin as people age, an increase in blood supply is not a well-established or typical age-related change. Decreased blood flow to the skin is more common in older adults.
Choice E rationale:
Decrease in skin hydration is a common age-related change, but it's not the most significant change mentioned in the question. The primary focus in older adults is the decrease in subcutaneous tissue, which has a more direct impact on skin health.
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