CH 48 Bone+Joint d/o

Question 1

The nurse has provided education for a client prescribed (Fosamax). Which statements made by the client indicate an understanding of the information?
Select all that apply.
1. “I cannot lie down for at least 30 minutes after taking the prescription.”
2. “Milk will help with the absorption of this medication.”
3. “I should call my healthcare provider if I experience heartburn.”
4. “I must take this with a full glass of water.”
5. “The prescription can be taken with or without food.”

Answer 1

1. “I cannot lie down for at least 30 minutes after taking the prescription.”
2. “I should call my healthcare provider if I experience heartburn.”
3. “I must take this with a full glass of water.”

Question 2

15) Which symptoms associated with an adverse effect of alendronate (Fosamax) should the nurse instruct the client to report?
1. Ringing in the ears
2. Flushed skin
3. Visual changes
4. Muscle spasms

Answer 2

4. Muscle spasms

Question 3

14) Which assessment should the nurse include in the treatment plan for a client receiving calcium intravenously (IV)?
1. Serum glucose levels
2. Intravenous (IV) site
3. Serum potassium levels
4. Level of consciousness

Answer 3

2. Intravenous (IV) site

Question 4

3) Which should the nurse plan to administer to a client to restore their calcium balance?
1. Calcium supplements and dark green, leafy vegetables
2. Calcium supplements and milk products
3. Calcium supplements and potassium
4. Calcium supplements and vitamin D

Answer 4

4. Calcium supplements and vitamin D

Question 5

Which is the next step in the process of vitamin D activation after the dietary products are consumed?

1. Calcium is absorbed in the small intestine.
2. Calcifediol is formed.
3. Calcitriol is formed.
4. Cholecalciferol is synthesized.

Answer 5

4. Cholecalciferol is synthesized.

Question 6

7) Which statement should the nurse include in a client’s education when discussing calcium supplementation?
1. “This drug may cause insomnia.”
2. “Take your calcium with a meal.”
3. “The vitamin D supplement can be taken separately.”
4. “Take the calcium on an empty stomach.”

Answer 6

2. “Take your calcium with a meal.”

Question 7

10) The nurse has taught the client with osteoporosis about how to manage the illness. Which statement by the client indicates that additional teaching is necessary?
1. “I will avoid drinking alcohol.”
2. “I will walk for 30 minutes every day.”
3. “I will take my calcium when I wake up.”
4. “I will drink milk regularly.”

Answer 7

3. “I will take my calcium when I wake up.”

Question 8

13) Which is the nurse’s primary concern for a client with a low calcium level?
1. Seizures
2. Bone fractures
3. Hypoglycemia
4. Depression

Answer 8

1. Seizures

Question 9

16) Which is an important function of calcium?
1. Regulate acid-base balance
2. Improve glucose absorption
3. Increase energy
4. Regulate nerve transmission

Answer 9

4. Regulate nerve transmission

Question 10

16) Which is an important function of calcium?
1. Regulate acid-base balance
2. Improve glucose absorption
3. Increase energy
4. Regulate nerve transmission

Answer 10

4. Regulate nerve transmission

Question 11

30) Which prescriptions increase the client's risk for gout?
Select all that apply.
6.	Aspirin
7.	Thiazide diuretics
8.	Acetaminophen
9.	Cyclosporine
10.	Aminoglycosides

Answer 11

6. Aspirin
7. Thiazide diuretics
8. Cyclosporine
9. Aminoglycosides