The nurse is caring for a client with a new diagnosis of osteoporosis. Which intervention should the nurse include in the care plan?

Encourage weight-bearing exercises

Restrict calcium-rich foods

Limit vitamin D supplementation

Promote bed rest to prevent fractures

Answer and Explanation

The Correct Answer is A

Choice A reason: Weight-bearing exercises, like walking, stimulate bone formation by increasing osteoblast activity, improving bone density in osteoporosis. This reduces fracture risk, making it a key intervention to strengthen bones and enhance balance, preventing falls, which is critical for osteoporosis management.

Choice B reason: Restricting calcium-rich foods is inappropriate, as calcium is essential for bone health in osteoporosis. Dietary calcium supports bone mineralization, reducing fracture risk. Weight-bearing exercises are prioritized, as they directly enhance bone strength, unlike dietary restrictions that weaken bones.

Choice C reason: Limiting vitamin D supplementation is incorrect, as vitamin D enhances calcium absorption, supporting bone health in osteoporosis. Weight-bearing exercises are the priority, as they mechanically stimulate bone remodeling, improving density and reducing fracture risk more directly than supplements.

Choice D reason: Promoting bed rest increases bone loss in osteoporosis by reducing mechanical stress, which stimulates bone formation. Weight-bearing exercises are essential, as they enhance bone density and strength, preventing fractures, making bed rest counterproductive to osteoporosis management.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Over-enunciating syllables emphasizes pronunciation, which may help with clarity but does not directly address hearing impairment. Age-related hearing loss (presbycusis) often involves difficulty processing rapid speech. Slowing speech is more effective, as over-enunciation may distort natural speech patterns, reducing comprehension in older adults with hearing deficits.

Choice B reason: Shouting increases volume but can distort speech and cause discomfort, worsening communication for those with presbycusis. High-frequency hearing loss in older adults makes loud sounds less effective, as they struggle with pitch discrimination. Slower, clear speech better facilitates understanding than shouting, which may also seem aggressive.

Choice C reason: Decreasing speaking speed enhances comprehension in older adults with hearing loss. Presbycusis impairs processing of rapid speech, particularly high-frequency sounds. Slow, clear speech allows more time for auditory processing, improving understanding without distorting sound or relying on less effective nonverbal cues, making it the optimal intervention.

Choice D reason: Exaggerating nonverbal expressions relies on visual cues, which does not address auditory comprehension. While gestures may supplement communication, they are insufficient for conveying detailed medical questions. Hearing-impaired clients primarily need auditory adjustments, like slower speech, to process verbal information effectively, making nonverbal exaggeration less appropriate.

A. Suggest that the client also plan to eat frequent small meals to reduce discomfort B. Remind the client to switch to decaffeinated coffee and tea C. Review with the client the need to avoid foods rich in milk and cream D. Reinforce the teaching by asking the client to make a list of snack foods high in dairy content

Correct Answer is A

Explanation

Choice A reason: Frequent small meals reduce gastroesophageal reflux by minimizing gastric distension, which decreases pressure on the lower esophageal sphincter. This prevents acid reflux into the esophagus, alleviating heartburn and irritation, making it an effective dietary strategy for managing GERD symptoms.

Choice B reason: Switching to decaffeinated coffee and tea may reduce reflux triggers, as caffeine relaxes the lower esophageal sphincter. However, small meals are more effective, as they directly reduce gastric volume and sphincter pressure, providing broader symptom relief than caffeine avoidance alone.

Choice C reason: Avoiding milk and cream is relevant for some GERD patients, as high-fat foods delay gastric emptying, increasing reflux. However, frequent small meals address the root cause of reflux by reducing gastric pressure, making this a more universally effective strategy than specific food avoidance.

Choice D reason: Listing high-dairy snack foods reinforces avoidance but is less direct than recommending small meals. Dairy may trigger reflux in some, but frequent small meals broadly reduce gastric distension and sphincter pressure, offering a more immediate and effective GERD management strategy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client with a new diagnosis of osteoporosis. Which intervention should the nurse include in the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to “speak up” so that she can hear the questions. Which action is best for the nurse to take?

Correct Answer is C

Explanation

The nurse is teaching a client with gastroesophageal reflux disease about dietary modifications. Which instruction should the nurse include?

Correct Answer is A

Explanation

A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

When performing postural drainage on a client with chronic obstructive pulmonary disease, which approach should the nurse use?

The nurse is caring for a client with a new diagnosis of hyperthyroidism. Which intervention should the nurse prioritize?

The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?

The nurse is assessing a client with suspected hepatitis. Which finding is most indicative of this condition?

The nurse is caring for a client with a history of liver cirrhosis. Which complication should the nurse monitor for?

The nurse is caring for a client with a history of chronic kidney disease. Which dietary restriction should the nurse emphasize?

A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 testing. Which action is most important for the nurse to take?