Metabolism prepu quiz

Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder?

Osteitis deformans

After sustaining a wrist fracture in a recent fall, a client is suspected of having osteoporosis. Which data best demonstrates the nursing focus of assessment?

The client claims mobility and independence have declined in recent years.

Lifestyle risk factors for osteoporosis include

lack of exposure to sunshine.

A nurse is teaching a client with osteoporosis about dietary selections. What client statement indicates the teaching was effective?

"I will eat more dairy products to increase my calcium intake."

The nurse is caring for a client with a history of osteoporosis being treated with a bisphosphonate. What education should the nurse provide in order to reduce the risk of adverse effects?

"It's important to stay sitting upright for 30 minutes after taking this pill."

Which assessment findings would the nurse expect in the client with osteomalacia?

Column B

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density?

Compression fractures

A provider prescribes a subcutaneous anabolic agent for an older adult client to prevent fractures associated with osteoporosis. What is the most likely prescribed drug?

Teriparatide

The nurse is planning an education program for women of childbearing years. What does the nurse recognize as the primary prevention of osteoporosis?

Ensuring adequate calcium and vitamin D intake

The nurse concludes that the participants of a community education class on prevention of osteoporosis are understanding the information when they identify which cause as a potential risk factor? Select all that apply.

Smoking High-protein diet Alcoholism Excessive caffeine intake

Identify descriptors of the pathophysiologic process seen in osteomalacia. Select all that apply.

There is a deficiency of activated vitamin D (calcitriol). Calcium and phosphate are not moved to the bones. The bone mass is structurally weaker, and bone deformities occur.

A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common?

elderly postmenopausal woman

A nurse is performing discharge teaching for a mobile older adult client diagnosed with osteoporosis. Which statement about home safety should the nurse include?

"Lower yourself onto chairs slowly and use padded seating as much as possible."

A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include?

"Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."

A nurse is participating in a health fair for older adults. The nurse would recommend routine screenings for which conditions for this population? Select all that apply.

Breast cancer Colorectal cancer Osteoporosis Diabetes

A nurse is presenting a safety program to a group of older adults at a continuing care retirement community. The nurse emphasizes measures to reduce the risk of falls based on the understanding that which type of fracture is the most common?

Hip

The nurse is instructing a female client recently diagnosed with osteoporosis about health promotion activities. The client has a 20-year history of smoking and has a sedentary life style. Which information should the nurse include in the teaching plan? Select all that apply.

Increase calcium and vitamin D intake using dietary supplements as prescribed. Begin walking for 20 to 30 minutes 5 times a week. Join a smoking cessation program. Enroll in a balance training program.

The nurse is providing education to a client concerning calcium intake. During the discussion the nurse addresses a potential health concern related to inadequate calcium intake. Which condition is most impacted by inadequate calcium intake?

Osteoporosis

A client diagnosed with osteoporosis is being discharged home. Which priority education should the nurse should provide?

Remove all small rugs from the home

A client, with systemic lupus erythematosus (SLE) has been on corticosteroid therapy for the last 2 years. The nurse should assess for what? Select all that apply.

skeletal muscle atrophy and osteoporosis hyperglycemia and fluid retention