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Which statement made by an adolescent indicates understanding of how to reduce risk of osteoporosis later in life?
- A. I will be careful not to sprain my ankle when I play sports.'
- B. I drink a glass of milk with every meal.'
- C. As I get older, I will reduce the amount of weight-bearing exercise I do.'
- D. My favorite beverages are cola drinks.'
Correct Answer: B
Rationale: High calcium intake (milk) builds bone density, reducing osteoporosis risk. Sprains, reduced exercise, or cola drinks don't address bone health.
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Which instruction should be given to the client taking alendronate sodium (Fosamax)?
- A. Take the medication before arising.
- B. Force fluids while taking this medication.
- C. Remain upright for 30 minutes after taking this medication.
- D. Take the medication in conjunction with estrogen.
Correct Answer: C
Rationale: Alendronate sodium is a drug used to treat osteoporosis. The drug causes gastric reflux, so the client should remain upright for 30 minutes after taking it and take it with only water. Taking it before arising or with estrogen is incorrect, and forcing fluids is not necessary.
The nurse is caring for clients(width)clients in the pediatric clinic.
- A. Which cranial nerve should the nurse assess in an infant with a 'crooked' smile?
- B. III.
- C. V.
- D. VII.
- E. XI.
Correct Answer: C
Rationale: A crooked smile in an infant suggests facial muscle weakness, controlled by the facial nerve (VII), which governs facial expressions. Cranial nerves III (eye movement), V (sensation), and XI (neck/shoulder movement) are unrelated to smiling.
A client who had a total thyroidectomy this morning returns to the nursing care unit. How should the nurse position the client?
- A. Semi-sitting
- B. Supine
- C. Prone
- D. Sims'
Correct Answer: A
Rationale: Semi-sitting reduces neck swelling and promotes airway patency post-thyroidectomy. Supine, prone, or Sims' positions increase complications.
In planning discharge teaching for a client after a lumbar laminectomy, the nurse would instruct the client to exercise regularly to strengthen which muscles?
- A. Anal sphincter.
- B. Abdominal.
- C. Trapezius.
- D. Rectus femoris.
Correct Answer: B
Rationale: strengthening the abdominal muscles adds support for the muscles supporting the lumbar spine
Which diagnosis for the client with tuberculosis would have the greatest impact on public health?
- A. Ineffective breathing pattern
- B. Deficient knowledge
- C. Fatigue
- D. Ineffective family therapeutic regimen management
Correct Answer: B
Rationale: Deficient knowledge about TB transmission risks public health by increasing spread, requiring education to ensure compliance with treatment and precautions.