The nurse is interviewing a new client in the clinic. The client ...

[MGLQZ]

The nurse is interviewing a new client in the clinic. The client is premenopausal, but is concerned about the bone changes and osteoporosis that can occur, since she is getting close to menopause.
 
  The nurse tells the client that prevention is the primary goal. Which of the following would be a primary goal for prevention? 1. Eliminating all alcohol intake
  2. Taking 500 mg of calcium each day
  3. Use of sunscreen to assist with absorption of vitamin D
  4. Regular weight-bearing and muscle-strengthening exercises

Question 2

The laboring patient has rated her pain at 9 on a scale of 110, and requests IV pain medication. Which statement is most important for the nurse to make? Narcotic medications:
 
  1. Can make you unsteady. You need to ask for help when you get up.
  2. Have a very rapid onset and begin to work in 23 minutes.
  3. Are metabolized by your body, so they don't last as long as an epidural.
  4. Can cause sleepiness in the baby that can be reversed with Narcan.

[cascooper22]

Answer to Question 1

4
Explanation: 4. This is correct. Regular weight bearing of the long bones is a primary goal for the prevention of osteoporosis.

Answer to Question 2

1
Rationale 1: Being unsteady when getting up is a common side effect of narcotic medications, and a safety issue. To prevent falls, it is important that patients receiving IV narcotics ask for assistance when they are getting up.
Rationale 2: This is true, but is not the most important consideration.
Rationale 3: This is true, but is not the most important consideration.
Rationale 4: The patient might not know that respiratory depression can occur, or understand what reversal is. This is technical information that the patient has not asked for.