When teaching an elderly female with osteoporosis, the nurse should include information about which major complication?
A) Bone fracture
B) Loss of estrogen
C) Negative calcium balance
D) Dowager's hump
Ans: A
Feedback: Bone fracture is a major complication of osteoporosis that results when loss of calcium and phosphate increases the fragility of bones. Estrogen deficiencies result from menopause, not osteoporosis. Calcium and vitamin D supplements may be used to support normal bone metabolism, but a negative calcium balance isn't a complication of osteoporosis. Dowager's hump results from bone fractures. It develops when repeated vertebral fractures increase spinal curvature.
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A nurse who is talking to a patient when he begins choking on his lunch and coughing forcefully should:
A) Stand him up and perform the abdominal thrust maneuver from behind. B) Lay him down, straddle him, and perform the abdominal thrust maneuver. C) Leave him to get assistance. D) Stay with him but not intervene at this time.
A client's serum potassium level is 5.4 mEq/L. What intervention may correct this type of potassium imbalance?
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A client has been brought to the health care facility with accident-related injuries. During the initial interview, the client becomes agitated, upset and is unable to answer any more of the nurse's questions
What does the nurse conclude about the condition of the client? A) The client's mind is preparing for a fight-or-flight response as he relates the incident. B) The client's mind is numb, and he is not able to react to further questions from the nurse. C) The brain is receiving less oxygen with each passing minute, which does not allow him to speak. D) The brain is sending chemicals to the bloodstream that make the client afraid of the questions.
To substantiate clinical practice the psychiatric nurse should place the greatest reliance on the _____ basis
a. traditional b. regulatory c. evidence d. philosophical/conceptual