A nurse is conducting a health history on an older adult client in a medical practice. Which assessment finding places the client at risk for osteoporosis?
A) Having a BMI that indicates obesity
B) Using corticosteroids for ten years due to a chronic lung disorder
C) Eating 3-5 servings of shrimp and liver per week
D) Drinking three glasses of skim milk daily
Answer: B
Long-time use of corticosteroids is a risk factor for developing osteoporosis. Obesity is not a risk factor for osteoporosis. Skim milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis. A diet rich in shellfish and organ meats is high in purine, which may predispose the client to gout.
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A patient asks the nurse, "What causes cataracts in older people?" Which of these statements should form the basis for the nurse's response?
a. "Cataracts usually result from chronic systemic diseases." b. "Cataracts may form as a result of exposure to ultraviolet light over time." c. "Cataracts are believed to result from eye injuries sustained early in life." d. "Cataracts usually result from the prolonged use of toxic substances."
A nurse is performing an admission assessment on a client with symptoms that indicate the client may have human immunodeficiency virus (HIV). Which question from the nurse addresses a major risk factor for contracting HIV?
A) "Has your partner been experiencing these symptoms?" B) "When was your first sexual experience?" C) "Have you had any fever, diarrhea, or chills over the last 48 hours?" D) "Have you ever experimented with intravenous drugs?"
The nurse is caring for a client with a new colostomy. The client has been taught care and has been successful with return demonstration to the staff
Although the client is able to perform care independently, and has asked to do so, the charge nurse has instructed the nursing staff to continue performing colostomy care for this client. When addressing this issue directly with the charge nurse, which statement by the nurse is the most appropriate? A) "The client will change the apparatus whether you like it or not." B) "The client has been trained to change the apparatus and has expressed interest to continue doing so." C) "You have no right to continue delegating this task to nursing when the client has been trained to change the apparatus." D) "I will report you to the nurse manager for not allowing the client to change the apparatus independently."
A nurse is caring for an older adult client who is prescribed an antianxiety agent parenterally. Which of the following would be most important for the nurse to do?
A) Arrange for a blood transfusion. B) Provide fiber-rich food. C) Provide plenty of fluids. D) Have resuscitative equipment ready.