Nokea
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.
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A client had a bunionectomy with osteotomy. The client asks why healing may take up to 3 months. What explanation by the nurse is best?
- A. The feet have less blood flow, so healing is slower
- B. The bones in your feet are hard to operate on
- C. The surrounding bones and tissue are damaged
- D. Healing depends on your overall health
Correct Answer: A
Rationale: The feet, being distal to the heart, have reduced blood flow compared to other areas, which slows healing after surgery like a bunionectomy with osteotomy. The other options are less accurate or incomplete explanations.
A nurse is assessing an older client and discovers back pain with tenderness along L2 and L3. What action by the nurse is best?
- A. Consult the provider about an X-ray
- B. Encourage the client to use ibuprofen (Motrin)
- C. Have the client perform hip range of motion
- D. Apply a cervical collar
Correct Answer: A
Rationale: Back pain with tenderness at L2 and L3 suggests a spinal compression fracture, common in osteoporosis. Consulting the provider for an X-ray is the priority to confirm the diagnosis. Ibuprofen may be considered post-diagnosis, and hip range of motion is unrelated. A cervical collar is inappropriate for lumbar issues.
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.
A client with chronic osteomyelitis is being discharged from the hospital. What information is important for the nurse to teach this client and family? (Select all that apply.)
- A. Administering the antibiotic regimen
- B. Correct intramuscular injection technique
- C. Eating high-protein and high-carbohydrate foods
- D. Keeping daily follow-up appointments
- E. Proper use of the intravenous equipment
Correct Answer: A,C,E
Rationale: Chronic osteomyelitis requires long-term IV or oral antibiotics, proper IV equipment use, and a high-protein, high-carbohydrate diet to promote healing. IM injections are not typically used, and daily follow-up is unnecessary.
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.