Osteoporosis Nclex Questions
A client is diagnosed with osteoporosis. Which statements should the nurse include when
teaching the client about the disease?
SELECT ALL THAT APPLY
a)"It's common in females after menopause."
b) "It's a degenerative disease characterized by a decrease in bone density."
c) "It's a congenital disease caused by poor dietary intake of milk products."
d) "It can cause pain and injury."
e) "Passive range-of-motion exercises can promote bone growth."
f) "Weight-bearing exercise should be avoided." - Answer: a, b, d
Osteoporosis is a degenerative metabolic bone disorder in which the rate of bone resorption
accelerates and the rate of bone formation decelerates, thus decreasing bone density.
Postmenopausal women are at increased risk for this disorder because of the loss of estrogen.
The decrease in bone density can cause pain and injury. Osteoporosis isn't a congenital disorder;
however, low calcium intake does contribute to the disorder. Passive range-of-motion exercises
may be performed but they won't promote bone growth. The client should be encouraged to
participate in weight-bearing exercise because it promotes bone growth.
A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin)
nasal spray. The nurse tells the client to do the following, except?
a-Delivery system contains enough medication for at least 30 doses. Discard any unused
solution after 30 doses.
b-If you do not feel the spray while using it, repeat the dose on the other nostrils.
c-Miacalcin is usually given as one spray per day into only one of your nostrils.
, d-Take extra vitamin D while you are using Miacalcin. - B: Miacalcin spray delivers a fine mist
into the nose. Even if the client does not feel the spray while using it, the medication is still
being absorbed by the nasal passages. A: Discard any unused solution after 30 doses because
spray may not deliver correct dose. C: Use the other nostril the next day and continue
alternating back and forth for each daily dose. D: Vitamin D helps in treating osteoporosis by
helping in maintaining healthy bones.
A 50 - year - old African American woman visits your office for an annual examination. She takes
inhaled steroids and Beta- agonists for mild intermittent
asthma. Her past medical history is negative for any fracture. She has no family history of
osteoporosis. She exercises regularly. Her menses are
regular. Based on her history, what are your recommendations for osteoporosis prevention and
screening?
(A) Take 800 mg of calcium and 800 IU vitamin D
daily
(B) Take 1200 mg of calcium and 400 IU vitamin
D daily
(C) Bone mineral density (BMD) screening
(D) Begin calcitonin therapy to increase bone
density
(E) Begin alendronate therapy to increase bone
density - (B) Take 1200 mg of calcium and 400 IU vitamin D daily.
This patient has no risk factors for osteoporosis. Although oral steroids are a recognized cause of
A client is diagnosed with osteoporosis. Which statements should the nurse include when
teaching the client about the disease?
SELECT ALL THAT APPLY
a)"It's common in females after menopause."
b) "It's a degenerative disease characterized by a decrease in bone density."
c) "It's a congenital disease caused by poor dietary intake of milk products."
d) "It can cause pain and injury."
e) "Passive range-of-motion exercises can promote bone growth."
f) "Weight-bearing exercise should be avoided." - Answer: a, b, d
Osteoporosis is a degenerative metabolic bone disorder in which the rate of bone resorption
accelerates and the rate of bone formation decelerates, thus decreasing bone density.
Postmenopausal women are at increased risk for this disorder because of the loss of estrogen.
The decrease in bone density can cause pain and injury. Osteoporosis isn't a congenital disorder;
however, low calcium intake does contribute to the disorder. Passive range-of-motion exercises
may be performed but they won't promote bone growth. The client should be encouraged to
participate in weight-bearing exercise because it promotes bone growth.
A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin)
nasal spray. The nurse tells the client to do the following, except?
a-Delivery system contains enough medication for at least 30 doses. Discard any unused
solution after 30 doses.
b-If you do not feel the spray while using it, repeat the dose on the other nostrils.
c-Miacalcin is usually given as one spray per day into only one of your nostrils.
, d-Take extra vitamin D while you are using Miacalcin. - B: Miacalcin spray delivers a fine mist
into the nose. Even if the client does not feel the spray while using it, the medication is still
being absorbed by the nasal passages. A: Discard any unused solution after 30 doses because
spray may not deliver correct dose. C: Use the other nostril the next day and continue
alternating back and forth for each daily dose. D: Vitamin D helps in treating osteoporosis by
helping in maintaining healthy bones.
A 50 - year - old African American woman visits your office for an annual examination. She takes
inhaled steroids and Beta- agonists for mild intermittent
asthma. Her past medical history is negative for any fracture. She has no family history of
osteoporosis. She exercises regularly. Her menses are
regular. Based on her history, what are your recommendations for osteoporosis prevention and
screening?
(A) Take 800 mg of calcium and 800 IU vitamin D
daily
(B) Take 1200 mg of calcium and 400 IU vitamin
D daily
(C) Bone mineral density (BMD) screening
(D) Begin calcitonin therapy to increase bone
density
(E) Begin alendronate therapy to increase bone
density - (B) Take 1200 mg of calcium and 400 IU vitamin D daily.
This patient has no risk factors for osteoporosis. Although oral steroids are a recognized cause of
