osteoporosis prepU

A postmenopausal female comes to the clinic for a checkup. What does the nurse tell the client about her chances of having osteoporosis?

"Postmenopausal osteoporosis is often caused by an estrogen deficiency."

The nursing instructor is teaching about osteoporosis and tells students that reduced physical activity can contribute to the loss of bone mass. What does the nurse tell the students is the rationale for this?

"Reduced physical activity increases the rate of bone loss, as mechanical forces are important stimuli for normal bone remodeling."

A client who has been admitted for a pelvic fracture is diagnosed with osteoporosis. The client states, "How could I not have known I had this?" What is the nurse's best response?

"This is typically a silent disorder without symptoms until something like this happens."

A 65-year-old woman is admitted to the emergency department with severe pain in her hip. After an x-ray, the woman is diagnosed with a broken hip. The woman states, "I didn't fall or anything!" What is the nurse's best response?

"We will evaluate you for osteoporosis."

A nurse is teaching a wellness group among a group of older adult women. One of the women has asked for advice about preventing osteoporosis, which affects many of her friends. What is the nurse's best response to the woman's query?

"Weight-bearing exercise is helpful, as are calcium supplements."

The home care nurse is caring for an elderly female patient who has been diagnosed with osteoporosis. When explaining the disease and its treatment to the patient, what should the nurse identify as a potentially serious complication?

Bone fracture

Which of the following inhibits bone resorption and promotes bone formation?

Calcitonin

A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate?

Low bone density and a family history of osteoporosis

Which vitamin supplements should the nurse recommend while a postmenopausal client is taking alendronate (Fosamax)?

Vitamin D and calcium

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action?

Walk or perform weight-bearing exercises

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."

Health education for a woman over age 50 includes providing information about the importance of adequate amounts of calcium and vitamin D to prevent osteoporosis. Select the daily dosage of calcium and vitamin D that the nurse should recommend.

1,200 mg calcium 1,000 IU vitamin D

A nurse is caring for a male client who has been seen for numerous broken ribs over the past year. He is diagnosed with osteoporosis. The nurse knows that the only bisphosphonate approved for use in treating osteoporosis in men is:

Alendronate (Fosamax).

Which clients are at increased risk for development of osteoporosis? Select all that apply.

A postmenopausal 65-year-old woman A 20-year-old female with hyperthyroidism A client with Cushing syndrome A client with adult onset diabetes mellitus. A young adult who has alcoholism

A client with confirmed low bone density asks the nurse if there is anything she can to decrease the risk of trauma. The best response would be:

Brisk walking three times per week on a flat surface

Which measures should a public health nurse recommend to middle-aged women to reduce their chances of developing osteoporosis later in life?

Calcium supplementation and regular weight-bearing activity

A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the Olympic swimming team. As a health care provider, which of the following should be implemented to prevent premature osteoporosis?

Calcium/vitamin D supplements to support bone mineral density.

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

A nurse is performing discharge teaching for an elderly client with osteoporosis. Which instruction about a calcium supplement should the nurse include?

Take the supplement with meals or with orange juice.

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