A 52-year-old postmenopausal woman tells the nurse that she is afraid she will develop osteoporosis like her mother did. Which of the following statements is the most appropriate response by the nurse?
a. The American diet is much better now than when your mother was your age, so you have enough calcium in your diet to keep your bones strong.
b. You have a strong genetic risk factor. There is not much we can do to stop the process.
c. You need about 1000 mg of calcium a day to keep your bones strong. Lets talk about your diet.
d. Tell me about your diet, how much walking you do each day, and what medications you take.
Answer: d. Tell me about your diet, how much walking you do each day, and what medications you take.
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The case manager interviews an older adult client hospitalized after hip replacement surgery. The client requires in-patient rehabilitation prior to being discharged home
The case manager works with the hospital nursing staff, the rehabilitation center, the client's family members, and other care providers to assist with a smooth transition. Which is the primary goal of the care management model described here? A) To provide greater peace of mind for the client and his or her family members B) To help manage concerns that are related to the client's medical care and treatment regimen only C) To track a client's progress to ensure that appropriate care is provided until the time of discharge D) To provide a continuum of clinical services in order to help contain costs and improve client outcomes
An obtunded patient is admitted to the emergency department after ingesting a known poison. What must a nurse do to assist with a gastric lavage?
A) Place the patient in a semi-Fowler's position. B) Discard aspirate into the toilet. C) Instill the antidote before aspirating stomach contents. D) Inspect the oral cavity for loose teeth.
The nurse is preparing to admit a 7-year-old child with ataxic cerebral palsy. What clinical manifestations of ataxic cerebral palsy should the nurse expect to observe? (Select all that apply.)
a. Wide-based gait b. Rapid, repetitive movements performed poorly c. Slow, twisting movements of the trunk or extremities d. Hypertonicity with poor control of posture, balance, and coordinated motion e. Disintegration of movements of the upper extremities when the child reaches for objects
Hyponatremia is marked by a serum sodium level less than
1. 137 mEq/mL. 2. 140 mEq/mL. 3. 135 mEq/mL. 4. 145 mEq/mL.