What information is most important when discussing ways to prevent osteoporosis with pregnant teenagers?

Correct Answer: A

Rationale: The correct answer is A because calcium is crucial for bone health and development, especially during pregnancy. Pregnant teenagers need adequate calcium intake to support both their own bone health and the baby's growth. Calcium supplements help ensure they meet the recommended daily intake. Choice B is incorrect as foods low in calcium and high in phosphorus can actually contribute to bone density loss. Choice C is incorrect as osteoporosis can develop earlier in life, not just around age 50. Choice D, while important for overall health, does not specifically address the need for calcium intake to prevent osteoporosis during pregnancy.

Correct Answer: A

Rationale: The correct answer is A. The nurse should take no action because using a transfer board to move a client from the bed to the wheelchair is an appropriate and safe procedure when performed correctly by UAPs. Using a transfer board helps in ensuring a smooth and safe transfer without causing harm to the client. Instructing the UAPs not to use a transfer board (choice B) would be incorrect as it is a useful tool for transferring clients safely. Using a bed scale sling to move the client (choice C) is not appropriate for transferring the client from the bed to the wheelchair. Requesting the UAPs to stop and come to the nurse's station (choice D) is unnecessary and interrupts the transfer process.

Correct Answer: B

Rationale: The correct answer is B: A spiral fracture. Spiral fractures are often associated with twisting injuries, which are commonly seen in cases of child abuse. The spiral nature of the fracture indicates a rotational force applied to the bone, consistent with non-accidental trauma. A: A single transverse fracture is not specific to abuse and can occur from accidental falls. C: A greenstick fracture is an incomplete fracture commonly seen in children due to their bone structure, not necessarily indicative of abuse. D: A comminuted fracture, while severe, does not specifically point towards abuse as it can result from high-impact accidents. In summary, the presence of a spiral fracture in a young child raises suspicion of non-accidental trauma due to its characteristic mechanism of injury.

Correct Answer: C

Rationale: The correct answer is C because contacting the healthcare provider when pain relief is not obtained demonstrates advocacy for the client's well-being. The nurse is advocating for the client's right to adequate pain management. Bringing pain medication when due (A) is part of standard nursing care, not necessarily advocacy. Collaborating with other disciplines (B) is important for holistic care but doesn't directly relate to advocating for the client. Teaching the client to ask for medication (D) is empowering but not necessarily advocating for the client in this context.

Correct Answer: B

Rationale: The correct answer is B because consistently turning up the volume on the television suggests the client is having difficulty hearing. This behavior indicates a potential hearing loss as the individual may not be able to hear the TV at normal volume levels. Cleaning ears daily (A) is a routine hygiene practice and does not necessarily indicate hearing loss. Ear pain when yawning (C) could be related to ear infections or eustachian tube dysfunction, not specifically hearing loss. Dizziness upon standing (D) is more indicative of orthostatic hypotension or inner ear issues, not necessarily hearing loss.