A client with osteoporosis asks the nurse for advice on reducing the risk of fractures.
Which response by the nurse is most appropriate?

"You should engage in high-impact exercises to strengthen your bones.”

"Avoid any physical activity to prevent the risk of falls.”

"Encourage weight-bearing exercises and physical activity.”

"Rest and immobility are essential to prevent fractures.”

Answer and Explanation

The Correct Answer is C

"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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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

A. "You should take the medication on an empty stomach.” B. "These medications can increase bone density quickly.” C. "It's important to stay upright for at least 30 minutes after taking the medication.” D. "You may experience some gastrointestinal side effects with this medication.”

Correct Answer is C

Explanation

Choice A rationale:

Taking osteoporosis medications on an empty stomach is not a standard recommendation.

In fact, some medications may need to be taken with food to reduce the risk of gastrointestinal side effects.

Choice B rationale:

The statement that these medications can increase bone density quickly is not accurate.

Osteoporosis medications typically slow down bone loss and may help increase bone density over time, but the effects are not immediate.

Choice C rationale:

The nurse should include the teaching that it's important to stay upright for at least 30 minutes after taking certain osteoporosis medications.

This helps prevent esophageal irritation and reflux as some medications can cause gastrointestinal side effects.

Choice D rationale:

Mentioning the possibility of gastrointestinal side effects with osteoporosis medications is important for client education.

Gastrointestinal side effects, such as nausea or heartburn, can occur with some osteoporosis medications, and clients should be aware of this potential.

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A client with osteoporosis asks the nurse for advice on reducing the risk of fractures.Which response by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess the bone mineral density of a client suspected to have osteoporosis.Which diagnostic test should the nurse anticipate using for this assessment?

Correct Answer is C

Explanation

A client with osteoporosis is prescribed medication to prevent further bone loss.What should the nurse include in the client's teaching regarding medications?

Correct Answer is C

Explanation

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A client with osteoporosis is prescribed medication to manage the condition.What is the nurse's primary responsibility when administering these medications?

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A nurse is providing education to a group of postmenopausal women about osteoporosis risk factors. Which statement made by one of the attendees indicates a need for further teaching?

A nurse is assessing a patient with osteoporosis.Which clinical findings should the nurse expect? (Select all that apply).

A nurse is assessing a patient's risk factors for osteoporosis.Select all the modifiable risk factors that the nurse should address during the assessment.

A client with osteoporosis asks the nurse for advice on reducing the risk of fractures.
Which response by the nurse is most appropriate?