PN Osteoporosis HESI Case Study, questions and answers

PN Osteoporosis HESI Case Study, questions and answers Which data, obtained during the intake examination and interview, should the PN recognize as an increased risk for osteoporosis? C. Body mass index (BMI) of 19. How should the PN respond? D. "Participating in sports activities often helps the bones become stronger and denser." Which aspect of the client's medication history has most likely impacted Carrie's risk for osteoporosis? A. Discontinued use of estrogen therapy 4 years ago, 8 years after a hysterectomy. What action should the PN implement? B. Provide the client with the available choices of appointment times and allow the client to select the desired appointment. What information should the PN provide the client concerning the effects of food allergies on osteoporosis screening? B. Reassure the client that there are no dyes or products containing iodine used during a DXA. How should the PN respond? B. "Many persons with osteopenia do not have any symptoms." What action should the PN implement first upon learning of this problem? D. Ask the client if she has discussed this symptom with her HCP. In addition to evaluating for the presence of subjective symptoms, what objective data should the PN include regarding Carrie's bone density loss? (Select all that apply.) D. Measure her height. E. Observe her posture. To increase Carrie's dietary intake of calcium, which snack should the PN recommend? B. A cup of fruit-flavored yogurt. What instruction should the PN provide? C. "By taking 2 of your calcium tablets each day, you will receive adequate amounts of calcium for your needs." How should the PN respond? B. "It is important to increase the frequency of your walks to at least 5 times per week." What question should the PN ask Carrie? A. "What medications have you taken during the last year?" Which medication is most likely to have contributed to the decrease in Carrie's bone density? C. Prednisone (Deltasone), a corticosteroid, taken during acute exacerbation and for several months following. How should the PN reply? A. "The medication is much better absorbed when taken on an empty stomach." What action should the PN implement? B. Ask Carrie to describe her method of Fosamax administration. What action should the PN implement first? A. Apply oxygen via mask. After notifying the RN, what nursing action should the PN implement? C. Ensure that intubation equipment is readily available. Which client should be reassigned to the RN? B. Six hours following a hip arthroplasty, the client's autotransfusion device is full of sanguineous drainage. In helping implement the plan of care for Carrie the PN recognizes which problem has the highest priority? B. Acute pain. Which action should the PN implement? D. Report the information to the RN for additional assessment. What action should the PN implement? B. Discuss concerns about drug administration with the RN in charge of client's care. What action should the charge nurse take? B. Meet privately with the PN at once to discuss the conversation that was overheard. When providing Carrie guidance regarding her lab work, the PN discusses the need for periodic monitoring of which diagnostic serum value? A. Calcium. The PN also reviews the adverse effects of the medication and stresses the importance of reporting which problem? D. Joint pain. The teriparatide (Forteo) prefilled syringe is supplied 250 mcg/mL. The syringe contains 2.4 mL. How many mcg will Carrie receive after self-administering the entire injection? 600 What action should the PN take? B. Encourage the client to practice the injection technique again under the observation of the PN. How should the PN respond? C. "It sounds as if your daughter has been really helpful." To promote additional conversation, how should the PN respond? B. "How do you envision your lifestyle in the years ahead?"