Olivia McRitchie
Quiz by , created more than 1 year ago

I didn't like any of the other quizzes I saw, so I made one specifically for my class, right out of my textbook. I tried with the NCLEX style questions, but they probably aren't very good.

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Olivia McRitchie
Created by Olivia McRitchie over 6 years ago
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Exemplar 12.5: Osteoporosis

Question 1 of 14

1

Which of the following foods would you suggest to a female client who is consistently low in vitamin D?

Select one of the following:

  • Egg yolks

  • Milk products

  • Beef

  • Broccoli

Explanation

Question 2 of 14

1

Which of the following foods/drinks would you suggest to a female client who is vegan and deficient in calcium?

Select one of the following:

  • Fortified orange juice

  • Oranges

  • Fortified Milk

  • Most fish

Explanation

Question 3 of 14

1

Select all that apply (sorry guys):

Which of the following people are at increased risk for osteoporosis?

Select one or more of the following:

  • A male with low testosterone

  • A person who drinks a lot of coffee.

  • A person who is taking sertraline.

  • A person who has had a gastric bypass surgery

  • A person who is has been on phenobarbital for several years.

Explanation

Question 4 of 14

1

Selct all that apply: A 55 year old female patient comes in for a normal check up. She explains that her mother had osteoporosis and it caused her a great deal of pain in her later years. She asks you how to avoid the same fate as her mother. Which of the following would you advise her to do?

Select one or more of the following:

  • Increase protein consumption

  • Limit her consumption of Faygo

  • Take vitamin D supplements

  • Take short hikes outside (5-30 minutes or so) with her husband a couple times a week

Explanation

Question 5 of 14

1

Which of the following is NOT a sign of osteoporosis?

Select one of the following:

  • History of fractures, especially in the wrist, femur, or thoracic spine

  • Kyphosis of the dorsal spine

  • Reduced height

  • Back pain, both at rest and when moving

Explanation

Question 6 of 14

1

True or false: a duel X-ray absorptiometry (DXA) scan is done on the hip or the spine to screen for early changes in bone density.

Select one of the following:

  • True
  • False

Explanation

Question 7 of 14

1

True or false: Swimming and water aerobic exercises are beneficial for maintaining bone density

Select one of the following:

  • True
  • False

Explanation

Question 8 of 14

1

Which of the following indicates that your post menopausal female patient needs further instruction about preventing the development of osteoporosis?

Select one of the following:

  • "I will get my bone density checked every other year."

  • "I will cut back on the whisky and cigarettes."

  • "I will maintain a calcium intake of 1,000-1,500 mg daily."

  • "I will take my calcium supplement once a day, with breakfast."

Explanation

Question 9 of 14

1

Select all that apply:

Which of the following are appropriate interventions when caring for a client who already has osteoporosis?

Select one or more of the following:

  • Maintain the bed in a low position.

  • Talk to the client about removing throw rugs and clearing walkways at home.

  • Collaborate with a physical therapist to design an exercise plan.

  • Encourage the family to discuss the client's placement in a nursing home.

  • Utilize restraints for patients who are also at risk for wandering.

  • Suggest that the client use NSAIDs for pain relief (after making sure they aren't contraindicated).

Explanation

Question 10 of 14

1

Calcitonin human and teriparatide can only be given via which method of administration?

Select one of the following:

  • Subcutaneously

  • Intramuscularly

  • Orally

  • Rectally

  • Intravenously

Explanation

Question 11 of 14

1

The most common drug class for treating osteoporosis are biphosphonates.

Select one of the following:

  • True
  • False

Explanation

Question 12 of 14

1

Select all that apply:

Calcium supplementation is contraindicated in which of the following patients?

Select one or more of the following:

  • Patients with a history of seizures.

  • Patients with diabetes.

  • Patients with ventricular fibrillation.

  • Patients with renal calculi.

  • Patients with metastatic bone cancer.

Explanation

Question 13 of 14

1

Select all that apply:

Which of the following are common side effects of biposphonates?

Select one or more of the following:

  • Nausea and vomiting

  • Orthostatic hypotension

  • Hot flashes

  • Abdominal pain

  • Esophageal irritation

Explanation

Question 14 of 14

1

Which of the following statements proves that the client understands the teaching about her medication, Fosamax (which is a biphosphonate)?

Select one of the following:

  • "This drug should be taken after breakfast."

  • "This drug should be taken in divided doses."

  • "This drug should be taken on an empty stomach."

  • "This drug might make me dizzy."

Explanation

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