Osteoporosis Hesi Case Study – Flashcards
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1. During the intake assessment and interview what information indicates that Kat has an increased risk for osteoporosis? (Select all that apply)
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body mass index of 19 excessive alcohol use
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2. How should the nurse respond?
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participating in sports and activities often helps the bones become stronger and denser.
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3. which aspect of her medication history is most likely to impact Kat's risk for osteoporosis?
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discontinued use of estrogen therapy 4 years ago, 8 years after a hysterectomy.
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4. What action should the nurse implement?
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provide the client with the available choices of appointment times and allow the client to select the desired appointment.
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5. What information should the nurse provide the client concerning the effects of food allergies on osteoporosis screening?
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reassure the client that there are no dyes or products containing iodine used during a DXA
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6. How should the nurse respond?
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Many persons with osteoporosis do not have any symptoms
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7. What action should the nurse implement first upon learning of this problem?
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Ask the client if she has discussed this symptom with her healthcare provider.
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8. In addition to evaluating for the presence of subjective symptoms, what assessment technique should the nurse include in the ongoing assessment of Kat's bone density?
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Measure her height
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9. To increase Kat's dietary intake of calcium, which snack should the nurse recommend
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a cup of fruit-flavored yogurt
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10. What instructions should the nurse provide? (Select all that apply)
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Try to take 1 tablet withe each meal By taking 3 of your calcium tablets each day you will receive adequate amount of calcium for your needs
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11. How should the nurse respond?
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It is important to increase the frequency of your walks to at least five times per week
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12. To help determine why osteoporosis has developed what question should the nurse ask Kat?
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What medications have you taken during the last year.
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13. Which medication is most likely to have contributed to the decrease in Kat's bone density?
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Prednisone (deltasone), a corticosteroid, taken during acute exacerbation and for several months following
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14. Which responses are appropriate (Select all that apply)
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the medication is much better adsorbed when take on an empty stomach make sure you remain upright for at least 1/2 hour after taking the medication
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15. What action should the nurse take?
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Ask Kat to describe her method of Fosamax administration
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16. What action should the nurse implement first?
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Apply oxygen via mask
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17. What is the priority nursing action?
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ensure that incubation equipment is readily available
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18. Which reported information indicates the need to assign the client to the RN
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six hours following a hip arthroplasty, the clients auto-transfusion collection device is full of sanguinous drainage.
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19. Arrangements should be made for which nurse to provide care for Kate?
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An experienced critical care RN who is scheduled off for the day.
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20. In the planning of Kat's care, which problem has the highest priority?
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Acute pain
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21. Which nursing action should be implemented to address this potential problem
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assess for sensation and movement of the feet every 4 hours
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22. What action should the charge nurse implement?
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Discuss the implications of placebo use with the nurse who administered the saline.
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23. What action should the charge nurse take?
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Meet privately with the nurse at once to discuss the conversation that was overheard
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24. In providing client teaching the nurse discusses the need for periodic motoring of which diagnostic serum lab value
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calcium
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25. The nurse stresses the importance of reporting which problem
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bone pain
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26. what action should the nurse take
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encourage the client to practice the injection technique again under the supervision of the nurse.
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27. How should the nurse respond?
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It sounds as if your daughter has been really helpful
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28. How should the nurse respond:?
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How do you envision your lifestyle in the years ahead?
