Nokea
A client with bone cancer is hospitalized for a limb salvage procedure. How can the nurse best address the client's psychosocial needs?
- A. Assess coping skills and support systems
- B. Explain that the surgery leads to a longer life expectancy
- C. Refer the client to the social worker or hospital chaplain
- D. Reinforce physical therapy to aid with ambulating normally
Correct Answer: A
Rationale: Assessing coping skills and support systems is the first step in addressing psychosocial needs, as it identifies the client's resources and challenges. Explaining life expectancy does not address psychosocial needs directly, referrals may follow assessment, and physical therapy focuses on physical rather than psychosocial needs.
You may also like to solve these questions
Which diagnostic tests are used to confirm muscular dystrophy? (Select all that apply.)
- A. Electromyography
- B. Muscle biopsy
- C. Nerve conduction studies
- D. Serum aldolase
- E. Creatinine kinase levels
Correct Answer: A,B,D,E
Rationale: Electromyography, muscle biopsy, serum aldolase, and creatinine kinase levels are used to diagnose muscular dystrophy. Nerve conduction studies are not relevant to this condition.
What information does the nurse teach a women's group about osteoporosis?
- A. After menopause, women lose about 2% of bone mass yearly
- B. Men actually have higher rates of the disease but are underdiagnosed
- C. There is no way to prevent or slow osteoporosis after menopause
- D. Bone loss stops 5 years after menopause
Correct Answer: A
Rationale: Women lose approximately 2% of bone mass annually after menopause due to decreased estrogen levels. Men have lower rates of osteoporosis, and treatments like calcium, vitamin D, and medications can slow bone loss post-menopause.
The nurse studying osteoporosis learns that which drugs can cause this disorder? (Select all that apply.)
- A. Corticosteroids
- B. Anticonvulsants
- C. Loop diuretics
- D. Proton pump inhibitors
- E. Selective serotonin reuptake inhibitors
Correct Answer: A,B,D,E
Rationale: Corticosteroids, anticonvulsants, proton pump inhibitors, and SSRIs are associated with bone loss and osteoporosis risk. Antibiotics are not typically linked to this condition.
A client has scoliosis with a 65-degree curve to the spine. What action by the nurse takes priority?
- A. Allow the client to rest in a position of comfort
- B. Assess the client's cardiac and respiratory systems
- C. Assist the client with ambulating and position changes
- D. Position the client on one side propped with pillows
Correct Answer: B
Rationale: A 65-degree spinal curve in scoliosis can impair cardiac and respiratory function due to chest deformity. Assessing these systems is the priority to ensure the client's safety. Comfort, ambulation, and positioning are important but secondary.
A client with osteoporosis is going home, where the client lives alone. What action by the nurse is best?
- A. Arrange a home safety evaluation
- B. Ensure the client has a walker at home
- C. Schedule daily nursing visits
- D. Refer the client to a support group
Correct Answer: A
Rationale: A home safety evaluation is critical for a client with osteoporosis living alone to reduce fall risks, which can lead to fractures. A walker may not be necessary without assessment, daily visits are excessive, and a support group is secondary to safety.