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.

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Correct Answer is C

Explanation

Choice A reason: Teaching mask use, hand washing, and distancing is important for preventing COVID-19 spread but is secondary to immediate isolation. Suspected cases require prompt separation to minimize transmission risk, as symptoms like fever and anosmia suggest high infectivity, making isolation the priority action.

Choice B reason: Counseling family to monitor symptoms is a follow-up measure, not the immediate priority. Isolation prevents active transmission in the emergency department, where the client is currently located. Family monitoring is relevant post-discharge but secondary to containing the virus in the acute setting.

Choice C reason: Isolation is the most critical action for a suspected COVID-19 case, as symptoms like fever, anosmia, and aches indicate potential infectivity. Separating the client from others without proper PPE prevents airborne and droplet transmission, protecting patients and staff in the emergency department, making it the priority.

Choice D reason: Reporting COVID-19 results to health authorities is mandatory but occurs after test confirmation. Immediate isolation prevents transmission in the emergency department while awaiting results. Reporting is a secondary administrative action, as the priority is containing the virus in the acute care setting.

A. Increase iron-rich foods B. Limit vitamin C intake C. Restrict green leafy vegetables D. Avoid whole grains

Correct Answer is A

Explanation

Choice A reason: Increasing iron-rich foods (e.g., red meat, spinach) corrects anemia by boosting hemoglobin synthesis, as iron is essential for red blood cell production. This addresses the underlying deficiency, improving oxygen transport, making it the priority dietary recommendation for anemia management.

Choice B reason: Limiting vitamin C is incorrect, as it enhances iron absorption, aiding anemia correction. Iron-rich foods are the priority, as they directly supply the deficient nutrient, improving hemoglobin levels, making vitamin C restriction counterproductive to effective anemia treatment.

Choice C reason: Restricting green leafy vegetables, which are iron-rich, worsens anemia. These foods (e.g., spinach) provide dietary iron, essential for hemoglobin synthesis. Increasing iron intake is the priority, as it corrects the deficiency, making vegetable restriction inappropriate for anemia.

Choice D reason: Avoiding whole grains is irrelevant, as they provide nutrients supporting overall health. Iron-rich foods directly address anemia by supplying iron for red blood cell production, making them the priority dietary recommendation over grain restrictions, which do not impact anemia correction.

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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

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Correct Answer is A

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