Nokea
A client with newly diagnosed osteoporosis is being taught about lifestyle modifications. Which instruction should be included?
- A. Increase intake of caffeinated beverages.
- B. Engage in weight-bearing exercises regularly.
- C. Avoid exposure to sunlight.
- D. Take calcium supplements with iron.
Correct Answer: B
Rationale: Step 1: Weight-bearing exercises help improve bone density and strength, crucial in managing osteoporosis.
Step 2: Regular engagement in weight-bearing exercises can reduce the risk of fractures in individuals with osteoporosis.
Step 3: Increasing intake of caffeinated beverages can contribute to bone loss.
Step 4: Avoiding exposure to sunlight can decrease vitamin D levels necessary for calcium absorption.
Step 5: Taking calcium supplements with iron may interfere with calcium absorption.
Summary: Choice B is correct as weight-bearing exercises are essential for managing osteoporosis. Choices A, C, and D are incorrect because they can have negative impacts on bone health.
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During a call to the on-call physician about a client who had a hysterectomy 2 days ago & has unrelieved pain from prescribed narcotic medication, which statement is part of the SBAR format for communication?
- A. I suggest ordering a different pain medication.
- B. This client has allergies to morphine & codeine.
- C. Dr. Smith does not prefer nonsteroidal anti-inflammatory meds.
- D. The client had a vaginal hysterectomy 2 days ago.
Correct Answer: B
Rationale: The correct answer is B because it provides relevant information regarding the client's allergies to morphine and codeine, which is crucial for the physician to know when considering alternative pain medication options. This aligns with the "Background" component of the SBAR format, which includes pertinent patient history.
Choice A is incorrect because it jumps to a solution without providing necessary background information. Choice C is irrelevant to the current situation as it does not address the client's pain management issue. Choice D is also incorrect as it only provides historical information about the type of hysterectomy performed, which is not directly related to the client's current pain management concern.
A nurse is caring for a client with a new diagnosis of type 1 diabetes. What is the most important aspect of teaching the nurse should focus on?
- A. The importance of regular exercise
- B. Proper administration of insulin
- C. Maintaining a low-carbohydrate diet
- D. Recognizing signs of hyperglycemia
Correct Answer: B
Rationale: The correct answer is B, proper administration of insulin, because it is crucial for managing type 1 diabetes. Insulin is essential for regulating blood sugar levels in type 1 diabetes patients. Without proper insulin administration, the client's condition can deteriorate rapidly. Regular exercise (A) and a low-carbohydrate diet (C) are important aspects of diabetes management, but they are not as critical as ensuring proper insulin administration. Recognizing signs of hyperglycemia (D) is important, but knowing how to administer insulin correctly takes precedence in effectively managing type 1 diabetes.
What best describes Mrs. West’s change in vital signs postoperatively?
- A. Decrease in BP indicates shock is imminent
- B. Elevated temperature indicates wound infection
- C. Decrease in BP is consistent with hypertension
- D. Elevation in temperature is consistent with normal postoperative recovery
Correct Answer: D
Rationale: A mild fever is common after surgery due to inflammatory response.
A client is receiving discharge teaching after a total hip replacement. Which statement by the client indicates a need for further teaching?
- A. I will avoid crossing my legs when sitting.
- B. I can sleep on my side as long as I use a pillow between my legs.
- C. I will avoid bending at the waist to pick things up.
- D. I can bend down to tie my shoes after 2 weeks.
Correct Answer: D
Rationale: The correct answer is D because bending down to tie shoes after only 2 weeks post total hip replacement can put strain on the hip joint and increase the risk of dislocation. The client should avoid bending past 90 degrees to protect the new hip joint. Choices A, B, and C are all correct statements as they promote hip joint protection and reduce the risk of complications.
Which member of the surgical team does not scrub into the operating room?
- A. The surgeon.
- B. The circulating nurse.
- C. The scrub nurse or surgical tech.
- D. The holding area nurse.
Correct Answer: B
Rationale: The circulating nurse does not scrub into the operating room. Their role is to manage activities outside the sterile field and assist with tasks such as retrieving supplies and documenting care.