The nurse is reviewing the medical records of several clients. Which client would the nurse expect to have an increased risk for developing osteoporosis?
A) A woman of African American descent
B) A woman who plays tennis twice a week
C) A thin woman with small bones
D) A woman who drinks one cup of coffee a day
C
Feedback:
A woman with a small frame and thin bones is at a higher risk for osteoporosis. Caucasian or Asian women, not African American women, are at higher risk for the condition. A woman who plays tennis twice a week is active and thus would be at low risk for osteoporosis. Women who ingest excessive amounts of caffeine are at increased risk.
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A patient's family is exhibiting increasingly impaired coping as the patient's condition deteriorates. The nurse asks the family to state the biggest concern from their perspective. What is the most important rationale for this question?
A) The question indicates active listening on the part of the nurse. B) The question is used as a way to validate the family's knowledge. C) The question clarifies the nurse's understanding of current family needs. D) The question promotes problem definition, which helps define the degree of family understanding.
An older client is diagnosed with herpes zoster. For which additional health problems should the nurse assess this client? (Select all that apply.)
1. Diagnosed with HIV 2. Taking steroid medication 3. Being treated for renal failure 4. Being treated with radiation for cancer 5. Being treated with chemotherapy for cancer
The nursing intervention that would receive the highest priority before discharge of a client following mastectomy is
a. arrange for Reach for Recovery volunteer to visit. b. describe the plan for follow-up treatment and surveillance. c. discuss methods of improving self-image. d. share information about mastectomy support groups.
What risk management practices might prevent this scenario from happening on another occasion?
You are waiting for a patient booked for a routine laparoscopic cholecystectomy late in the afternoon. As you commence your surgical count with the circulating nurse, the surgeon arrives and tells you about his requirements. After this interruption, you complete the count and the surgery commences. Subsequently, in response to uncontrolled bleeding, the surgeon converts to an open procedure. Your circulating nurse has opened additional instruments and accountable items and you remain focused for some time on the surgical count and check of instruments. After 3 hours of surgery, the closure commences and you discover a discrepancy in the count. What will be an ideal response?