Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen's disease)?

Correct Answer: A

Rationale: The correct answer is A: Social isolation. When a client is diagnosed with leprosy, there is a significant stigma associated with the disease leading to social isolation. The nurse should identify this as a priority problem to address the client's emotional well-being and quality of life. Altered body image (B) and alteration in comfort (D) are important considerations but addressing social isolation is crucial in this case. Potential for infection (C) is not the priority as leprosy is not highly contagious.

Correct Answer: A

Rationale: The correct answer is A: Being overweight. Excess weight puts additional stress on the joints, leading to increased risk of developing OA. This is a modifiable risk factor as weight management through diet and exercise can help reduce the risk. Option B (Increasing age) is a non-modifiable risk factor as age itself cannot be changed. Option C (Previous joint damage) increases the risk but is not modifiable. Option D (Genetic susceptibility) also increases the risk, but genetics cannot be altered. Therefore, being overweight is the modifiable risk factor for developing OA.

Correct Answer: C

Rationale: Step 1: Calcium carbonate needs stomach acid for absorption. Step 2: Taking 30-60 mins before a meal ensures optimal stomach acid levels. Step 3: Absorption is best in acidic environment. Step 4: Taking with meals can decrease absorption. Step 5: Other choices are incorrect as they do not address optimal absorption of calcium carbonate.

Correct Answer: D

Rationale: The correct answer is D because keeping the immobilizer on only when lying down is incorrect. The client should wear the immobilizer at all times to promote proper healing and prevent further injury. Choice A is correct as a high-protein diet aids in tissue repair. Choice B is correct as finger wiggling promotes circulation. Choice C is correct as taking pain medication preemptively is better than waiting for severe pain.

Correct Answer: A

Rationale: Rationale: A is correct because bisphosphonates like Fosamax should be taken with a full glass of water on an empty stomach to maximize absorption. Water helps prevent esophageal irritation. B is incorrect because it should be taken on an empty stomach. C is incorrect because sensitivity to sunlight is not a common side effect of Fosamax. D is incorrect because bisphosphonates do not directly increase calcium reabsorption.