Exam (elaborations)
2024 OSTEOPOROSIS AND BACK PAIN- (IN CLASS) NCLEX EXAM WITH CORRECT ANSWERS
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2024 OSTEOPOROSIS AND BACK PAIN- (IN CLASS) NCLEX EXAM WITH CORRECT ANSWERS
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2024 OSTEOPOROSIS ANDBACK PAIN- (IN CLASS) NCLEX
EXAM WITH CORRECT
ANSWERS
The patient is diagnosed with possible osteoporosis. Which diagnostic tests
do you anticipate will be ordered? (Select all that apply.)
a. Sodium
b. Phosphorus
c. Serum calcium
d. Electrocardiogram
e. Thyroid function tests- parathyroid (calcitonin)
f. 24-hour urine collection
g. Dual x-ray absorptiometry (DEXA) - CORRECT ANSWERS-b. Phosphorus
c. Serum calcium
e. Thyroid function tests
f. 24-hour urine collection
g. Dual x-ray absorptiometry (DEXA)
What are the odds of a woman over the age of 50 breaking a bone because
of osteoporosis?
a. 1 out of 10
b. 1 out of 7
c. 1 out of 5
d. 1 out of 2 - CORRECT ANSWERS-d. 1 out of 2
Which information will the nurse include when teaching a patient with acute
low back pain (select all that apply)?
a. Sleep in a prone position with the legs extended.
b. Keep the knees straight when leaning forward to pick something up.
c. Avoid activities that require twisting of the back or prolonged sitting.
d. Symptoms of acute low back pain frequently improve in a few weeks.
e. Ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) can be used to
relieve pain. - CORRECT ANSWERS-c. Avoid activities that require twisting of
the back or prolonged sitting.
, d. Symptoms of acute low back pain frequently improve in a few weeks.
e. Ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) can be used to
relieve pain.
Acute back pain usually starts to improve within 2 weeks. In the meantime,
the patient should use medications such as NSAID's or acetaminophen to
manage pain and avoid activities that stress the back. Sleeping in a prone
position and keeping the knees straight when leaning forward will place
stress on the back and should be avoided.
The nurse would know that which intervention would be most effective for
their patient with osteoporosis?
a. Suggest a diet that is high in protein and calcium but low in vitamin D
b. Recommend walking for 30 minutes 3 to 5 times a week.
c. Teach her to cut down on her cigarette-smoking.
d. Tell her to include high-impact activities, such as running, in her exercise
regimen. - CORRECT ANSWERS-b. Recommend walking for 30 minutes 3 to 5
times a week.
Which statement by the patient with osteoporosis about self-care indicates a
need for further teaching by the nurse?
a. "I am going to swim at the YWCA."
b. "My husband is getting rid of our throw rugs."
c. "Low-fat yogurt is on my grocery list."
d. "Joining a bowling team will help me exercise." - CORRECT ANSWERS-d.
"Joining a bowling team will help me exercise."
The nurse determines that dietary teaching for a 75-year-old patient with
osteoporosis has been successful when the patient selects which highest-
calcium meal?
a. Chicken stir-fry with 1 cup each onions and green peas, and 1 cup of
steamed rice
b. Ham and Swiss cheese sandwich on whole wheat bread, steamed broccoli,
and an apple
c. A sardine (3 oz) sandwich on whole wheat bread, 1 cup of fruit yogurt, and
1 cup of skim milk
d. A two-egg omelet with 2 oz of American cheese, one slice of whole wheat
toast, and a half grapefruit - CORRECT ANSWERS-c. A sardine (3 oz)
sandwich on whole wheat bread, 1 cup of fruit yogurt, and 1 cup of skim milk
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