The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?

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Question 1 of 5

The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?

Correct Answer: C

Rationale: The correct answer is C: Performing physical activity, such as fast walking. Physical activity, particularly weight-bearing exercises like fast walking, helps to strengthen bones and prevent bone loss. Weight-bearing activities increase bone density and reduce the risk of osteoporosis. Regular physical activity also improves balance and coordination, reducing the risk of falls and fractures. Taking calcium and vitamin D supplements (choice A) is important but should be combined with physical activity for optimal bone health. Taking medications (choice B) is typically reserved for those at high risk or already diagnosed with osteoporosis. Assessing bone density annually (choice D) is important for monitoring bone health but does not directly prevent bone loss.

Question 2 of 5

A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side. The nurse knows that this condition is commonly referred to as:

Correct Answer: B

Rationale: The correct answer is B: Ulnar deviation. In rheumatoid arthritis, ulnar deviation occurs due to inflammation and damage to the joints, causing the fingers to drift towards the ulnar side. This deviation is a hallmark feature of rheumatoid arthritis. Radial drift (A) is not a term used in this context. Swan-neck deformity (C) refers to hyperextension of the proximal interphalangeal joint and flexion of the distal interphalangeal joint. Dupuytren contracture (D) involves thickening and contracture of the palmar fascia, not finger drift.

Question 3 of 5

The nurse should use which test to check for large amounts of fluid around the patella?

Correct Answer: A

Rationale: The correct answer is A: Ballottement. This test involves pushing the patella downward and looking for a fluid wave or a "floating" sensation, indicating large amounts of fluid around the patella. The other choices are incorrect because: B: Tinel sign assesses nerve compression; C: Phalen test evaluates for carpal tunnel syndrome; D: McMurray test is used for assessing meniscal injuries in the knee joint.

Question 4 of 5

The area of the nervous system that is responsible for mediating reflexes is the:

Correct Answer: C

Rationale: The correct answer is C: Spinal cord. The spinal cord is responsible for mediating reflexes due to its role in processing and coordinating reflex actions. When a stimulus is detected, the spinal cord can generate an immediate response without involving the brain. This allows for rapid and automatic reactions to potential threats. The other choices, A: Medulla, B: Cerebellum, and D: Cerebral cortex, are not primarily involved in mediating reflexes. The medulla is responsible for vital functions like breathing and heart rate, the cerebellum is involved in coordination and balance, and the cerebral cortex is responsible for higher cognitive functions such as thinking and decision-making.

Question 5 of 5

A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over. The nurse knows that the reason for this is:

Correct Answer: B

Rationale: The correct answer is B: Myelin is needed to conduct the impulses, and the neurons of a newborn are not yet myelinated. Myelin is a fatty substance that insulates nerve fibers, allowing for faster and more efficient transmission of nerve impulses. In newborns, the process of myelination is incomplete, which means that the nerve impulses responsible for coordinating the complex movement required for rolling over are slower and less efficient. This delay in myelination is a normal part of infant development and accounts for the time it takes for infants to learn to roll over. Choice A is incorrect because demyelination refers to the loss of myelin, which is not the case in infants. Choice C is incorrect because while the cerebral cortex plays a role in motor function, the lack of myelination in newborns is the primary reason for the delay in rolling over. Choice D is incorrect because the cerebellum is not solely responsible for the movement, and the lack of myelination

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