A nurse practitioner who works with many older adult patients integrates screening for osteoporosis into health promotion activities. What screening tool is most clinically useful when screening for osteoporosis?
A) Hip bone mineral density (BMD) testing
B) Assessment of serum calcium levels
C) Bone biopsy
D) Assessment of 25-hydroxy-vitamin D levels
Question 2A patient who has undergone liver transplantation is ready to be discharged home. The nurse is providing discharge teaching. Which topic will the nurse emphasize most related to discharge teaching?
A) The patient will obtain measurement of drainage from the T-tube.
B) The patient will exercise three times a week.
C) The patient will take immunosuppressive agents as required.
D) The patient will monitor for signs of liver dysfunction.
Question 3A nurse who oversees care in a long-term care facility is aware that a high percentage of residents have osteoporosis, and that residents who do not have the disease must be assessed and monitored closely for this health problem.
Which of the following older adults most clearly exemplifies the risk factors for osteoporosis?
A) A Caucasian woman who has low body mass index
B) An African American woman who is slightly obese
C) An Asian man whose mobility is limited to a wheelchair
D) A Caucasian man who has led a sedentary lifestyle
Question 4A patient with portal hypertension has been admitted to the medical floor. What will the nurse assess for related to portal hypertension?
A) Bowel obstruction
B) Vitamin A deficiency
C) Ascites
D) Hepatic encephalopathy
Question 5A community health nurse is participating in a health forum under the auspices of the local seniors' center.
The subject of osteoporosis has come up during a discussion with participants, and the nurse is providing a brief overview of the concept of bone density and the changes in bone density that occur with age. What age-related change in hormone levels contributes to the high incidence and prevalence of osteoporosis among older adults?
A) Decreased parathyroid hormone levels
B) Decreased levels of calcitonin
C) Increased estrogen levels in women
D) Decreased levels of somatotropin
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