A 50-year-old female patient is concerned that she will develop osteoporosis because both her maternal aunts have been diagnosed with the disorder. The nurse would help the patient manage which intervention?
1. Prophylactic nonsteroidal anti-inflammatory medication
2. A DEXA test
3. Prescription for risedronate (Actonel)
4. Daily intake of 2,000 mg of calcium
2
Rationale 1: Nonsteroidal anti-inflammatory medication has no prophylactic effect against osteoporosis.
Rationale 2: Assessment of bone mass is the primary measurement for osteoporosis. The bone mineral density test, or DEXA test, uses a technique that measures any skeletal site and then compares bone density values with other values in a reference population of the same age, race, and gender.
Rationale 3: Actonel is prescribed for patients diagnosed with osteoporosis and is not used prophylactically.
Rationale 4: Total dietary intake of calcium should be 1,200 to 1,500 mg. Taking additional calcium is not indicated and could result in manifestations of hypercalcemia.
You might also like to view...
Which of the following communication theories provides the most appropriate rationale for a nursing intervention to utilize the perceived strengths of the client in promoting effective communication?
1. Behavioral Effects and Human Communication Theory 2. Neurolinguistic Programming Theory 3. Theory of Communication Levels 4. Therapeutic Communication Theory
By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:
a. Do not volunteer unwanted information. b. Actively listen to each other. c. Listen to the person who believes he or she is an expert. d. Do not speak unless they are absolutely sure they are correct in their views.
A teenaged girl is being evaluated for an eating disorder. Which of the following would suggest anorexia nervosa?
a. Guilt and shame about eating patterns b. Lack of knowledge about food and nutrition c. Refusal to talk about food-related top d. Unrealistic perception of body size
A patient is brought into the emergency department with chemical burns. What should the nurse do to help this patient?
A. Do not remove any jewelry. B. Begin flushing the patient's clothes and skin with warm water. C. Keep the patient's contact lenses in place and flush only with warm water. D. Check to see if all clothing has been removed and begin flushing the patient's skin with water.