ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 50 Questions
Question 1 of 5
The nurse sees several clients with osteoporosis. For which client would bisphosphonates not be a good option?
Correct Answer: D
Rationale: Bisphosphonates require the client to sit upright for 30"?60 minutes after administration to prevent esophageal irritation. A client with a spinal cord injury who cannot tolerate sitting up is not a good candidate. A serum creatinine of 0.8 mg/dL is normal, and neither vertebral fractures nor calcium channel blockers contraindicate bisphosphonates.
Question 2 of 5
A client had a bunionectomy with osteotomy. The client asks why healing may take up to 3 months. What explanation by the nurse is best?
Correct Answer: A
Rationale: The feet, being distal to the heart, have reduced blood flow compared to other areas, which slows healing after surgery like a bunionectomy with osteotomy. The other options are less accurate or incomplete explanations.
Question 3 of 5
A client has been advised to perform weight-bearing exercises to help minimize osteoporosis. The client admits to not doing the prescribed exercises. What action by the nurse is best?
Correct Answer: A
Rationale: Fear of falling can deter clients from performing weight-bearing exercises. Assessing this fear is the first step to address barriers to compliance. Calcium intake, alternative exercises, or weight-lifting techniques may be relevant but are secondary to understanding the client's reluctance.
Question 4 of 5
A client is scheduled for a bone biopsy. What action by the nurse takes priority?
Correct Answer: C
Rationale: Ensuring informed consent is on the chart is the priority before a bone biopsy to confirm the client's understanding and agreement to the procedure. Medications, answering questions, and guiding the family are important but secondary.
Question 5 of 5
A client with osteoporosis is going home, where the client lives alone. What action by the nurse is best?
Correct Answer: A
Rationale: A home safety evaluation is critical for a client with osteoporosis living alone to reduce fall risks, which can lead to fractures. A walker may not be necessary without assessment, daily visits are excessive, and a support group is secondary to safety.