Which of the following clients is at a higher risk of developing osteoarthritis?

A client who has hypertension and is taking amlodipine

A client who has COPD and has been on frequent courses of prednisone

A client with atrial fibrillation who is taking warfarin

A client who is Caucasian and has had multiple child

Answer and Explanation

The Correct Answer is B

A.   Amlodipine is a calcium channel blocker used to manage hypertension. It is not associated with an increased risk of osteoarthritis. While hypertension itself is a health concern, amlodipine does not directly contribute to the development of OA.
B.   Prednisone is a corticosteroid that can lead to various side effects, including bone loss and osteoporosis with long-term use. Although osteoporosis and OA are different conditions, long-term use of corticosteroids can potentially increase the risk of joint issues and contribute to the development or exacerbation of OA due to the impact on joint cartilage and bone density.
C.   Warfarin is an anticoagulant used to prevent blood clots in atrial fibrillation. It is not directly associated with an increased risk of osteoarthritis. The primary concerns with warfarin involve bleeding risks rather than joint health.
D.   Being Caucasian and having multiple children do not directly contribute to an increased risk of osteoarthritis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Furosemide is a loop diuretic used to manage conditions such as hypertension and fluid retention. While furosemide has potential side effects, it is not specifically associated with an increased risk of developing cataracts.
B. Albuterol is a bronchodilator used to treat conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not associated with an increased risk of cataracts. Albuterol primarily affects the respiratory system and does not have a known link to cataract development.
C. Gentamicin is an antibiotic used to treat various bacterial infections. While gentamicin can have adverse effects on hearing and kidneys, it is not specifically associated with an increased risk of cataracts. Antibiotics like gentamicin do not have a well-established link to cataract development.

D. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, anti- inflammatory purposes, and cardiovascular protection. Long-term use of high doses of aspirin or other NSAIDs has been associated with various eye issues, including cataract formation.

A. "It is caused by the overproduction of T3, T4, and calcitonin by the thyroid gland." B. "It is caused by the lack of production of adrenocorticotropic hormone by the pituitary gland." C. "It is caused by the lack of production of thyroid stimulating hormone by the pituitary gland." D. "It is caused by the lack of production of aldosterone by the adrenal gland."

Correct Answer is C

Explanation

A. Secondary hypothyroidism is characterized by insufficient production of thyroid hormones (T3 and T4) due to inadequate stimulation from the pituitary gland, not due to overproduction. Overproduction of thyroid hormones would typically be associated with hyperthyroidism, not hypothyroidism.
B. Adrenocorticotropic hormone (ACTH) stimulates the adrenal glands to produce cortisol. A deficiency in ACTH would lead to adrenal insufficiency or Addison's disease, not secondary hypothyroidism.
Secondary hypothyroidism specifically involves a deficiency in thyroid-stimulating hormone (TSH), not ACTH.
C. Secondary hypothyroidism is caused by inadequate production of thyroid-stimulating hormone (TSH) by the pituitary gland. TSH is necessary for stimulating the thyroid gland to produce thyroid hormones (T3 and T4). When the pituitary gland does not produce enough TSH, the thyroid gland is not adequately stimulated, leading to low levels of thyroid hormones in the blood.
D. Aldosterone is a hormone produced by the adrenal glands that helps regulate sodium and potassium levels, as well as blood pressure. A deficiency in aldosterone is associated with conditions such as
Addison’s disease or primary adrenal insufficiency, not secondary hypothyroidism. Secondary
hypothyroidism specifically relates to issues with TSH production, not aldosterone.

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

Which of the following clients is at a higher risk of developing osteoarthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an eye clinic is obtaining a health history from a client who is being evaluated for suspected cataracts. The nurse understands that which of the following medications is associated with an increased risk of developing cataracts?

Correct Answer is D

Explanation

A staff nurse is teaching a client who has secondary hypothyroidism about the disease process. The client asks the nurse what causes secondary hypothyroidism. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A client has had recurrent kidney stones. Upon lab analysis of the client's urine, it is found that excessive oxalate intake is the underlying cause. Which of the following high-oxalate foods should the nurse instruct the client to avoid?

A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A client who received a kidney transplant 3 months ago is in the nephrologists office for a follow up appointment. Which finding would indicate that the client is experiencing a complication which is common after a kidney transplant?

A client has been on daily, high-dose prednisone therapy to treat an exacerbation of rheumatoid arthritis. His prescription runs out before his next paycheck. He decides to skip his prednisone for a few days. What is likely to happen to this patient when he abruptly stops taking prednisone?

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

A nurse educator is providing an educational in-service about various neurological disorders. Which statement should be included when teaching about Guillain-Barre Syndrome?

A client who will be undergoing chemotherapy and internal radiation for cancer treatment asks the nurse why they are scheduled for the placement of a central venous access device (CVAD). Which of the following is a benefit of placing a CVAD for someone who will be undergoing cancer treatment?

Which of the following clients is at risk for sensorineural hearing loss?