In general, therapeutic interventions for a patient with osteoporosis will probably include drugs that

decrease osteoclastic activity

increase the kidneys tubular secretion of calcium into the urine.

increase resorption of calcium

suppress calcitonin

Answer and Explanation

The Correct Answer is A

A. Decrease osteoclastic activity: Osteoporosis treatments often focus on reducing osteoclastic activity, which is responsible for bone resorption, thereby helping to maintain or increase bone density.

B. Increase the kidneys' tubular secretion of calcium into the urine: This would decrease calcium levels in the body, which is not desired in osteoporosis treatment, as it would worsen bone density.

C. Increase resorption of calcium: Increasing bone resorption would exacerbate osteoporosis by weakening the bones further.

D. Suppress calcitonin: Calcitonin helps to inhibit bone resorption, so suppressing it would be counterproductive in treating osteoporosis.

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Correct Answer is C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

A. High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice. B. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice. C. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.

Correct Answer is D

Explanation

A. Hyperproteinemia and increased drug effect: In cirrhosis, hypoproteinemia (low protein levels) occurs due to decreased protein synthesis by the liver, and drug metabolism is often impaired, leading to increased drug effects, but hyperproteinemia is not a typical finding.

B. Hyperkalemia and fluid retention: While fluid retention is common due to hypoalbuminemia and portal hypertension, hyperkalemia is not a direct consequence of hepatocyte dysfunction.

C. Hypercortisolism and increased infection risk: Hypercortisolism is not typically associated with cirrhosis. However, increased infection risk is common due to compromised immune function.

D. An elevated blood glucose and ammonia level: In cirrhosis, the liver's ability to metabolize ammonia is impaired, leading to elevated levels. Additionally, impaired glucose metabolism can result in hyperglycemia.

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In general, therapeutic interventions for a patient with osteoporosis will probably include drugs that

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Naxlex Comprehensive Predictor Exams

A patient, diagnosed with Addison's disease, is admitted to the emergency department (ED) after spending the day at the lake. The patient is diaphoretic, weak and forgetful. Which intervention would be supportive for these S&S (signs and symptoms)?

Correct Answer is C

Explanation

A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

Correct Answer is D

Explanation

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A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

A patient has recently been diagnosed with multiple sclerosis. Which response best explains the etiology of multiple sclerosis (MS)?

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

Alzheimer's disease (AD)

Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?