A client recently diagnosed with osteoporosis expresses concern about the pathophysiology of the condition.
Which statement by the client indicates a clear understanding of osteoporosis?
"Osteoporosis occurs when my body makes too much bone, causing it to become dense and heavy.”
"The imbalance between bone resorption and formation results in weak and fragile bones.”
"Osteoporosis happens because my body doesn't produce enough estrogen after menopause.”
"Increased vitamin D levels lead to enhanced bone resorption and formation.”
The Correct Answer is B
Choice A rationale:
The client's statement, "Osteoporosis occurs when my body makes too much bone, causing it to become dense and heavy," is incorrect.
Osteoporosis is characterized by a decrease in bone density, leading to weak and fragile bones, not an increase in bone production.
Choice B rationale:
The statement, "The imbalance between bone resorption and formation results in weak and fragile bones," correctly explains the pathophysiology of osteoporosis.
Osteoporosis occurs when there is an imbalance in bone remodeling, with increased bone resorption (breakdown) compared to bone formation.
Choice C rationale:
The client's statement, "Osteoporosis happens because my body doesn't produce enough estrogen after menopause," is partially correct.
Estrogen deficiency after menopause is one of the factors contributing to bone loss in women, but it's not the sole cause of osteoporosis.
Choice D rationale:
The statement, "Increased vitamin D levels lead to enhanced bone resorption and formation," is incorrect.
Adequate vitamin D is essential for calcium absorption and bone health, but excessive vitamin D levels do not lead to enhanced bone resorption and formation.
Instead, they can have adverse effects on other body systems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale:
Dual-energy X-ray absorptiometry (DXA) is the diagnostic test of choice for assessing bone mineral density and diagnosing osteoporosis.
DXA scans provide precise measurements of bone density, typically at the hip and spine, and are used to evaluate the risk of fractures and monitor treatment efficacy.
Choice A rationale:
Magnetic resonance imaging (MRI) is not the primary diagnostic test for osteoporosis.
While MRI can provide detailed images of soft tissues, it is not as effective as DXA in measuring bone density, which is crucial in osteoporosis diagnosis and management.
Choice B rationale:
Computed tomography (CT) scans are not typically used as the first-line diagnostic test for osteoporosis.
CT scans provide detailed images of bones and tissues but involve a higher radiation dose than DXA scans.
DXA remains the preferred choice for assessing bone mineral density.
Choice D rationale:
Bone biopsy is not a standard diagnostic test for osteoporosis.
Bone biopsies are invasive procedures reserved for specific situations, such as diagnosing other bone disorders or investigating unusual bone lesions.
DXA is a non-invasive and more commonly used method for assessing bone density in osteoporosis.
Questions
Correct Answer is C
Explanation
"You should engage in high-impact exercises to strengthen your bones." While weight-bearing exercises are beneficial for bone health, high-impact exercises may not be suitable for all individuals with osteoporosis.
High-impact exercises can increase the risk of fractures in some cases.
Therefore, it is essential to tailor exercise recommendations to the individual's specific needs and limitations.
Choice B rationale:
"Avoid any physical activity to prevent the risk of falls." This statement is incorrect.
Encouraging complete avoidance of physical activity is not appropriate.
Physical activity, including weight-bearing exercises, can help maintain bone density and improve overall health.
However, individuals with osteoporosis should engage in safe and appropriate activities to reduce the risk of falls and fractures.
Choice C rationale:
"Encourage weight-bearing exercises and physical activity." This statement is the correct answer.
Weight-bearing exercises, such as walking and strength training, can help strengthen bones and reduce the risk of fractures in individuals with osteoporosis.
Physical activity is an essential component of osteoporosis management when done safely and under guidance.
Choice D rationale:
"Rest and immobility are essential to prevent fractures." This statement is incorrect.
Rest and immobility can lead to muscle weakness and further bone loss in individuals with osteoporosis.
Encouraging mobility and appropriate physical activity is essential for maintaining bone health.
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