Page 2141 - Saunders Comprehensive Review For NCLEX-RN

Rationale: Risk factors for osteoporosis include female gender, being
postmenopausal, advanced age, a low-calcium diet, excessive alcohol intake, being
sedentary, and smoking cigarettes. Long-term use of corticosteroids,
anticonvulsants, and/or furosemide also increases the risk.
Test-Taking Strategy: Focus on the subject, risk factors for osteoporosis. The 25-
year-old woman who runs (exercises using the long bones) has negligible risk. The
36-year-old man with asthma is eliminated next because his only risk factor might be
long-term corticosteroid use (if prescribed) to treat the asthma. Of the remaining
options, the 65-year-old woman has higher risk (age, gender, postmenopausal,
sedentary, smoking) than the 70-year-old man (age, alcohol consumption).
Level of Cognitive Ability: Analyzing
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Musculoskeletal
Health Problem: Adult Health: Musculoskeletal: Osteoporosis
Priority Concepts: Health Promotion; Mobility
Reference: Ignatavicius, Workman, Rebar (2018), p. 1017.

736. Answer: 4

Rationale: After arthroscopy, the client usually can walk carefully on the leg once
sensation has returned. The client is instructed to avoid strenuous exercise for the
length of time prescribed by the surgeon. The client may resume the usual diet. Signs
and symptoms of infection should be reported to the primary health care provider.
Test-Taking Strategy: Focus on the subject, teaching points following knee
arthroscopy. Recalling the general client teaching points related to surgical
procedures and that a risk for infection exists after a surgical procedure will direct
you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Adult Health: Musculoskeletal
Health Problem: N/A
Priority Concepts: Client Education; Safety
Reference: Ignatavicius, Workman, Rebar (2018), p. 1014.

737. Answer: 4

Rationale: With a suspected fracture, the victim is not moved unless it is
dangerous to remain in that spot. The nurse should remain with the victim and have
someone else call for emergency help. A fracture is not reduced at the scene. Before
the victim is moved, the site of fracture is immobilized to prevent further injury.
Test-Taking Strategy: Eliminate options 1 and 2 first because they are comparable
or alike in that either of these options could result in further injury to the victim. Of
the remaining options, the more prudent action would be for the nurse to remain
with the victim and have someone else call for emergency assistance.
Level of Cognitive Ability: Applying

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