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 B

Explanation

Choice A reason: Anorexia is common in hepatitis due to systemic inflammation but is nonspecific, occurring in many conditions. Clay-colored stools directly indicate impaired bile excretion from liver dysfunction, a hallmark of hepatitis, making it a more diagnostic finding.

Choice B reason: Clay-colored stools are highly indicative of hepatitis, as liver inflammation impairs bile production or excretion, reducing bilirubin in feces. This causes pale stools, reflecting hepatic dysfunction, making it a key finding to confirm hepatitis over nonspecific symptoms like anorexia.

Choice C reason: Brown, foamy urine is not typical of hepatitis. Dark urine from bilirubinuria may occur, but foamy urine suggests proteinuria, unrelated to liver dysfunction. Clay-colored stools are more specific, indicating bile flow obstruction, a direct sign of hepatitis pathology.

Choice D reason: Hematemesis indicates gastrointestinal bleeding, not a primary hepatitis feature. While advanced liver disease may cause variceal bleeding, clay-colored stools are an earlier, more specific sign of hepatitis-related bile impairment, making them the priority finding in acute cases.

A. Encourage early ambulation B. Apply warm compresses to the leg C. Restrict fluid intake D. Elevate the affected leg

Correct Answer is D

Explanation

Choice A reason: Early ambulation prevents stasis but is contraindicated in acute deep vein thrombosis, as it risks dislodging the clot, causing pulmonary embolism. Leg elevation reduces swelling and promotes venous return, making it the priority intervention to manage acute DVT safely.

Choice B reason: Warm compresses may increase blood flow but are not standard for deep vein thrombosis, as they risk clot dislodgement. Leg elevation reduces edema and venous pressure, improving circulation without mobilizing the clot, making it the preferred intervention for DVT management.

Choice C reason: Restricting fluid intake is inappropriate, as hydration prevents blood viscosity increases that exacerbate deep vein thrombosis. Leg elevation directly reduces swelling and promotes venous return, addressing the primary issue of venous stasis, making it the priority over fluid restriction.

Choice D reason: Elevating the affected leg reduces edema and venous pressure in deep vein thrombosis by promoting venous return to the heart. This decreases clot propagation risk and alleviates pain, making it a key intervention to manage acute DVT effectively and prevent complications.

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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

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

Correct Answer is B

Explanation

The nurse is caring for a client with a history of deep vein thrombosis. Which intervention should the nurse include in the care plan?

Correct Answer is D

Explanation

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