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NURS 308 Exam 3 – Questions With Definitive Solutions

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NURS 308 Exam 3 – Questions With Definitive Solutions

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NURS 308
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NURS 308

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NURS 308 Exam 3 – Questions With Definitive
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more common in women because: is osteoporosis more common in men or women?
- women tend to have lower calcium why?
intake
- women have smaller frames,
therefore less bone mass
- bone resorption begins at an earlier
age in women and becomes more
rapid at menopause
- pregnancy and breastfeeding
depletes a woman’s reserves
- longevity increases the likelihood of
osteoporosis, and women tend to live
longer than men


adequate dietary calcium intake the body stops building bone at around 30 years of
life, and we must maintain the bone mass that we
have for the rest of our life. how can we maintain our
bone mass?


bone remodeling the process of bone being continuously deposited
by osteoblasts and resorbed by osteoclasts in the
body


bone deposition the formation of new bone by osteoblasts


bone resorption the breakdown of bone by osteoclasts

,bone loss when osteoclast activity exceeds osteoblast activity,
_____ results


age ≥ 65 - women - ↓ body weight - risk factors of osteoporosis:
white or asian - smoking - sedentary
lifestyle - postmenopausal - family hx
- diet ↓ in Ca or vitamin D - excess
alcohol - ↓ testosterone - long-term
use of corticosteroids, thyroid
replacement hormone, heparin, long-
acting sedatives, or anti-seizure
medications


low body weight: bone is built by is osteoporosis more common in patients with higher
stress being placed on bones. the less or lower body weight? why?
a person weights, the less stress the
bones get through normal everyday
activity


women in menopause have an why is osteoporosis more common in post-
estrogen deficiency. estrogen menopausal women?
contributes to osteoblast activity,
therefore bone is not being built as
much with an estrogen deficiency


*testosterone also contributes to
osteoblast activity, therefore bone is
not being built as much with a
testosterone deficiency


corticosteroids what types of medications can lead to osteoporosis?
thyroid replacement hormone
heparin
long-acting sedatives
anti-seizure medications


spine osteoporosis occurs most commonly in the bones of
hips the:
wrists

,back pain and spontaneous fractures common early manifestations of osteoporosis:


back pain clinical manifestations of osteoporosis:
spontaneous fractures
loss of height
dowager's hump or kyphosis


bone mineral density test: dual-energy the gold standard for diagnosis of osteoporosis
x-ray absorptiometry (DXA)


age ≥ 65 or younger if high risk when should patients begin bone density testing?


*high risk example: woman has a
complete hysterectomy and goes into
surgical menopause at 30 years old


milk patients should eat foods high in calcium for
cheese prevention of osteoporosis. what are some examples
almonds of foods high in calcium?
icecream
seafood
yogurt


calcium and vitamin D most patients who are at risk for or have
osteoporosis will have prescribed _____ supplements
*nurses cannot recommend a calcium
or vitamin D supplement to a patient;
but, we can recommend that they talk
to their provider about whether they
should take a supplement


vertebroplasty, kyphoplasty procedures to repair spinal fractures usually
occurring as a result of osteoporosis: a catheter is
inserted into the spinal column to inject a foam-type
substance that gets in between the vertebrae and
shapes them back into anatomical alignment,
providing support for the patient


bisphosphonates (weekly tablet) the most common drug given for osteoporosis

, must be given on an empty stomach how should bisphosphonates be administered for a
with a full glass of water, and the patient with osteoporosis?
patient must remain in an upright
position for 30 minutes after taking
the pill - no food, drink, or any other
medications can be taken for 1 hour
before to 1 hour after administration


*bisphosphonates can cause erosion
in the esophagus


raloxifene (daily tablet) medication taken for osteoporosis that changes the
effects of estrogen on bone to maintain or build the
bone (has an estrogen-antagonistic effect on bone
receptors); however, also blocks the effects of
estrogen on other organs, like the ovaries, so the
patient still has menopause-like symptoms (e.g., hot
flashes), and increases their risk for thrombosis
formation


non-opioid: do not manage should osteoporosis pain be managed with opioids
osteoporosis pain with opioids or non-opioids?
because this is a chronic, long-term
disease


weight-bearing and low impact what type of exercise plan should a patient with
osteoporosis have?


remain ambulatory, promote safety what is the main focus for a patient with
osteoporosis?


prioritize prevention of falls and how does a patient's history of osteoporosis affect
injury: put on non-slip socks, get them your plan of care as a nurse?
a walking aid, order a PT consult, etc.


ask your provider about taking your patient with osteoporosis asks if they should be
calcium supplements, but you should taking a calcium supplement. how will you respond?
increase your dietary intake of calcium

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