A nurse sees clients in an osteoporosis clinic. Which client ...

[abern]

A nurse sees clients in an osteoporosis clinic. Which client should the nurse see first?
 
  a. Client taking calcium with vitamin D (Os-Cal) who reports flank pain 2 weeks ago
  b. Client taking ibandronate (Boniva) who cannot remember when the last dose was
  c. Client taking raloxifene (Evista) who reports unilateral calf swelling
  d. Client taking risedronate (Actonel) who reports occasional dyspepsia

Question 2

A client has scoliosis with a 65-degree curve to the spine. What action by the nurse takes priority?
 
  a. Allow the client to rest in a position of comfort.
  b. Assess the client's cardiac and respiratory systems.
  c. Assist the client with ambulating and position changes.
  d. Position the client on one side propped with pillows.

[kjohnson]

Answer to Question 1

ANS: C
The client on raloxifene needs to be seen first because of the manifestations of deep vein thrombosis, which is an adverse effect of raloxifene. The client with flank pain may have had a kidney stone but is not acutely ill now. The client who cannot remember taking the last dose of ibandronate can be seen last. The client on risedronate may need to change medications.

Answer to Question 2

ANS: B
This degree of curvature of the spine affects cardiac and respiratory function. The nurse's priority is to assess those systems. Positioning is up to the client. The client may or may not need assistance with movement.

[abern]

Thank you

[kjohnson]

Happy to help you