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Geri NCLEX Questions aGeri NCLEX Questions and Answers 100% AccurateGeri NCLEX Questions and Answers 100% AccurateGeri NCLEX Questions and Answers 100% AccurateGeri NCLEX Questions and Answers 100% Accuratend Answers 100% Accurate A 70 year-old female patient with osteoporosis asks the nurse which...

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  • August 18, 2024
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Geri NCLEX Questions and Answers
100% Accurate
A 70 year-old female patient with osteoporosis asks the nurse which bones she might be at risk
for fracturing. The nurse answers that the three most at-risk areas include the following: (select
all that apply)


A. Phalanges
B. Hip
C. Radius at the wrist (Colles' fracture)
D. Tibia
E. Spine - ANSWER - B,C, E.


These are the most common fractures in patients with osteoporosis


A nurse is giving teaching to a 65 year-old female patient who has osteoporosis and is going
home from the hospital after a Colles' fracture. What items should be included in the teaching?


A. Remove throw rugs to prevent more falls.
B. Eat foods such as chicken, pork, or lamb, because they are high in calcium.
C. Eat foods such as white or red beans and green leafy vegetables because they are high in
calcium.
D. If the nail beds on your affected hand are blue, don't worry. That's normal when you have a
cast on.
E. If the skin under the cast becomes itchy or uncomfortable, you can put a small piece of cotton
gauze underneath the cast. - ANSWER - A, C.


White or red beans, green leafy vegetables, and dairy products are high in calcium. Chicken,
pork, and lamb are not good sources of calcium. Cyanotic fingernails are not expected when a
patient has a cast on. And teach patients to never stick anything underneath their cast.


Which patient below is NOT at risk for osteoporosis?

,A. A 48 year old female patient who has been taking glucocorticoids for the last 6 months.
B. A 50 year old female whose last menstrual period was 7 years ago.
C. A 30 year old male who says he drinks alcohol a few times a month and has a BMI of 26
D. A 35 year old female who has a history of seizures and takes Dilantin regularly. - ANSWER -
C
During flare-ups of RA the patient should rest the joint. However, it is important the patient
performs range of motion exercises along with LOW-IMPACT exercise weekly (such as
stationary bike riding, walking, water aerobics etc.). This will help with increasing the patient's
energy level along with muscle strength and maintain joint health.


When assessing a patient with osteoarthritis, what symptom should the nurse look for with this
diagnosis?


A. Crepitus in one or more joints
B. Decreased grip strength
C. Bilateral joint swelling
D. Increased joint movement - ANSWER - A


Crepitus in one or more joints


A nurse is educating a patient with rheumatoid arthritis about management of the disease, what
should the nurse include in the teaching?


A. "Stay on a low-purine diet and lower your consumption of red meats and shellfish."
B. "To avoid sensitivity, avoid applying cold or heat to your joints."
C. "Weight has no effect on this disease, so there is no need to change your diet or exercise."
D. "Call your doctor if you experience chest pain that gets worse when laying down." - ANSWER
-D


"Call your doctor if you experience chest pain that gets worse when laying down."

, Because all the other patients have risk factors for osteoporosis. A and D are at risk because
medications such as glucocorticoids and anticonvulsants can weaken bones and put patients at
risk for osteoporosis. The 50 year old female is at risk because she has reached menopause,
which causes a loss in estrogen and weaker bones. C is not at risk because he doesn't drink
much alcohol and his BMI is within normal limits


Which patients below are at risk for developing osteoarthritis? Select all that apply:


A. A 65 year old male with a BMI of 35.
B. A 59 year old female with a history of taking long term doses of corticosteroids.
C. A 55 year old male with a history of repeated right knee injuries.
D. A 60 year old female with high uric acid levels.
E. A 45 year old female with a BMI of 21 - ANSWER - A & C.


The risk factors for developing OA include: older age, being overweight (BMI >25), repeated
injuries to the weight bearing joints, genetics. Option B is at risk for osteoporosis, and option D
is at risk for gout.


During a home health visit you are helping a patient with gout identify foods in their pantry they
should avoid eating. Select all the foods below the patient should avoid:


A. Sardines
B. Whole wheat bread
C. Steak
D. Crackers
E. Craft beer
F. Bananas - ANSWER - A, C, & E.


A patient with gout should avoid foods high in PURINES. These include most red meats,
shellfish, organ meats (liver, kidneys, sweetbreads), and alcohol (especially beer).


The nurse is providing education to a patient, who was recently diagnosed with rheumatoid
arthritis, about physical exercise. Which statement made by the patient is correct?

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