An 80 y/o Asian woman presents to your office with back pain. She notes that the pain
began on the previous day after stepping off a curb. She has been unable to sleep
due to the pain. Physical exam reveals she has a dorsal kyphosis and tenderness over
a mid thoracic spinous process. Results of neurologic examination are negative for
signs of cord compression. You prescribe a mild narcotic pain reliever and order
thoracic spine films. Which of the following medications would be of most immediate
benefit to this patient?
Give this one a try later!
(C) Calcitonin. Sudden onset of severe back pain following minimal or no
trauma suggests an osteo-
porotic vertebral fracture. The presence of a dorsal kyphosis also points to
osteoporosis. Treatment with narcotic analgesia is appropriate for a
presumed ver tebral fracture. Plain radiographs may or may not reveal the
acute fracture but are useful to rule out other bone pathology, such as
metastatic disease. This patient should have calcium supplementation, but
other med is indicated for tx of osteoporosis. Estrogen, alendronate, and
risedronate are FDA- approved for the prevention and tx of osteoporosis
but do not provide immediate relief. However, FDA recommends
nonestrogen txs be considered first for osteoporosis. In addition to
, reducing vertebral fractures, calcitonin has been shown to produce
significant alleviation of the acute pain from osteoporotic vertebral
fractures.
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."
d) "It can cause pain and injury."
Give this one a try later!
Osteoporosis is 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? If you
do not feel the spray while using it, repeat the dose on the other nostrils.
Give this one a try later!
began on the previous day after stepping off a curb. She has been unable to sleep
due to the pain. Physical exam reveals she has a dorsal kyphosis and tenderness over
a mid thoracic spinous process. Results of neurologic examination are negative for
signs of cord compression. You prescribe a mild narcotic pain reliever and order
thoracic spine films. Which of the following medications would be of most immediate
benefit to this patient?
Give this one a try later!
(C) Calcitonin. Sudden onset of severe back pain following minimal or no
trauma suggests an osteo-
porotic vertebral fracture. The presence of a dorsal kyphosis also points to
osteoporosis. Treatment with narcotic analgesia is appropriate for a
presumed ver tebral fracture. Plain radiographs may or may not reveal the
acute fracture but are useful to rule out other bone pathology, such as
metastatic disease. This patient should have calcium supplementation, but
other med is indicated for tx of osteoporosis. Estrogen, alendronate, and
risedronate are FDA- approved for the prevention and tx of osteoporosis
but do not provide immediate relief. However, FDA recommends
nonestrogen txs be considered first for osteoporosis. In addition to
, reducing vertebral fractures, calcitonin has been shown to produce
significant alleviation of the acute pain from osteoporotic vertebral
fractures.
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."
d) "It can cause pain and injury."
Give this one a try later!
Osteoporosis is 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? If you
do not feel the spray while using it, repeat the dose on the other nostrils.
Give this one a try later!
