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.

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.

Choice A rationale:

Increased bone density is not an expected clinical finding in a patient with osteoporosis.

Osteoporosis is characterized by decreased bone density, which leads to weak and fragile bones.

Choice B rationale:

Height loss over time is an expected clinical finding in patients with osteoporosis.

The compression fractures that occur in osteoporosis can lead to a gradual loss of height as the spine becomes more curved.

Choice C rationale:

Fractures with minimal trauma are a hallmark of osteoporosis.

Weakened bones in individuals with osteoporosis are more prone to fracture even with minimal or no significant trauma.

Choice D rationale:

Kyphosis or stooped posture is a common clinical finding in individuals with advanced osteoporosis.

As vertebral compression fractures occur, they can lead to a stooped or hunched posture.

Choice E rationale:

Muscle weakness can be a clinical finding in patients with osteoporosis, especially if they have been less active due to pain or fractures.

Weakened bones can also lead to decreased mobility, contributing to muscle weakness.