Osteoporosis Exam 2 with 100% Correct Answers 2023

A client is seen in the nurse's clinic for the treatment of osteoporosis. Which food can the nurse recommend to provide calcium? (Select All that apply) Wine Organ meats Canned sardines Yogurt Broccoli - Correct answer-Canned sardines Yogurt Broccoli The nurse is providing care to a client diagnosed with osteoporosis. Dual-energy x-ray absorptiometry (DEXA) has been ordered for the client. Which explanation of this diagnostic procedure is the most appropriate? The test is used to evaluate bone mineral density and the degree of osteoporosis. The test is administered to the heel of the foot to measure bone density The test measures bone density in the lumbar spine or hip The test detects osteopenia and identifies fractures - Correct answer-The test measures bone density in the lumbar spine or hip The nurse is caring for a client diagnosed with osteoporosis. In planning the client's care, which nursing diagnosis is the most appropriate? Hypothermia Hyperthermia Impaired perfusion Impaired mobility - Correct answer-Impaired mobility An older adult female client is diagnosed with osteoporosis. The client wants to know why this disorder has occurred. The nurse will base the response on which risk factor in the client's history? Aerobic exercise three times per week Low testosterone Lack of vitamin D Diet rich in calcium - Correct answer-Lack of vitamin D The nurse is caring for a client with osteoporosis. Which medication taken by the client may have contributed to this diagnosis? Prednisone Acetaminophen Vitamin D supplements Calcium supplements - Correct answer-Prednisone The nurse is providing care for a female client who reports lower back pain. The client states that the symptoms are postmenopausal, but she has been having difficulty staying asleep because of the discomfort. Which assessment should the nurse perform? (Select all that apply.) Pain Hearing acuity Visual acuity Muscle strength History of fractures - Correct answer-Pain Muscle strength History of fractures Osteoporosis involves an imbalance in the activity of osteoblasts and osteoclasts. What do osteoblasts do? Create a malignancy Cause fractures Resorb bone Form new bone - Correct answer-Form new bone Which clinical manifestation occurs in osteoporosis? Vertebral pain with substantial movement Chronic episodes of vertebral pain Increase of weight over time Decrease in height over time - Correct answer-Decrease in height over time Which items can help reduce the risk of osteoporosis? (Select all that apply.) Moderate alcohol consumption A high-protein diet Weight-bearing exercise Vitamin D Moderate cigarette smoking - Correct answer-Moderate alcohol consumption Weight-bearing exercise Vitamin D High-protein diets can contribute to osteoporosis. Vitamin D can help the body absorb and use calcium. Cigarette smoking impairs the absorption of calcium and contributes to decreased bone density. Moderate alcohol consumption in postmenopausal women may increase bone mineral content by increasing levels of estrogen and calcitonin, although excessive consumption can encourage bone loss. Weight-bearing exercise decreases the risk of osteoporosis. Which diagnostic test is used to differentiate osteoporosis from other bone-related disorders? X-ray Ultrasound Complete blood cell count (CBC) Bone mineral density (BMD) test - Correct answer-Bone mineral density (BMD) test Which nursing intervention is appropriate for a client with osteoporosis? Encouraging smoking cessation Prescribing pain medications Placing fluid restrictions Discouraging physical activity - Correct answer-Encouraging smoking cessation What will the nurse include in the health history of a client with osteoporosis? Assessing muscle strength Assessing level of activity Assessing pain Assessing height - Correct answer-Assessing level of activity During the health history portion of the nursing assessment, the nurse will assess the client's level of activity. Assessing muscle strength, pain, and height occurs in the physical examination portion of the nursing assessment. A 62-year-old woman, Karen Johnson, has come into the emergency room with a possible wrist fracture. This is the third such injury she has had in the past year, and the nurse suspects osteoporosis. She reports no other health symptoms. Which piece of data in Ms. Johnson's history supports the diagnosis of osteoporosis? Daily vitamin D intake History of alcoholism Active lifestyle Overweight - Correct answer-History of alcoholism A history of alcoholism places this client at risk of osteoporosis. An inactive lifestyle, not an active lifestyle, would place this client at risk. Being underweight, not overweight, is a risk factor. A lack of vitamin D intake, not daily intake, would also be a risk factor for osteoporosis. A 65-year-old man has a low testosterone level, low lifetime calcium level, and has had two bone fractures in the past 2 years. Which intervention can the nurse suggest to prevent or slow the development of osteoporosis? Increasing calcium intake Taking estrogen supplements Taking corticosteroids Exercising less to avoid injury - Correct answer-Increasing calcium intake A 65-year-old woman, Lina Chen, has recently been diagnosed with osteoporosis. Which advice will the nurse give her? Increase caffeine intake Start or continue weight-bearing exercise Eat foods low in iron Increase alcohol intake - Correct answer-Start or continue weight-bearing exercise The nurse is providing care for a client diagnosed with osteoporosis who is recovering from a wrist fracture. When planning care for this client, which goal is the priority? Weight loss Relaxation Weight gain Pain relief - Correct answer-Pain relief Which lifestyle choice can increase a client's risk of developing osteoporosis? (Select all that apply.) Moderate exercise Excessive alcohol consumption Smoking Consumption of milk products Sedentary lifestyle - Correct answer-Excessive alcohol consumption Smoking Sedentary lifestyle A client with osteoporosis has been prescribed calcium supplements. About which subject should the nurse educate this client? Decrease caloric intake Increase iron supplements Adequate fluid intake Possible depression - Correct answer-Adequate fluid intake Calcium supplements may cause kidney stones if the client does not stay adequately hydrated; increased fluid intake is necessary. Calcium supplements are not associated with possible depression, anemia, or weight gain. The nurse is providing education to a client who has been prescribed alendronate sodium (Fosamax) for the treatment of osteoporosis. Which adverse effect will the nurse educate the client to expect while taking this medication? Constipation Hot flashes Dyspepsia Sinusitis - Correct answer-Dyspepsia The nurse is planning a presentation on osteoporosis to clients in an assisted-living center. Which group will the nurse not include in the presentation as being at risk of developing this disease process? Men with high testosterone levels Asian women Postmenopausal women Smokers - Correct answer-Men with high testosterone levels Men with high testosterone levels are not at risk of developing osteoporosis; therefore, this should not be included in the presentation. Women, especially those who are