A nurse is discussing prevention strategies for osteoporosis with a group of middle-aged adults.
Which strategy should the nurse emphasize as effective in reducing the risk of osteoporosis?
Regularly consuming high-dose calcium supplements.
Engaging in weight-bearing exercises.
Smoking and alcohol consumption.
Avoiding exposure to sunlight.
The Correct Answer is B
Choice A rationale:
Regularly consuming high-dose calcium supplements is not an effective prevention strategy for osteoporosis.
While calcium intake is important for bone health, excessive calcium supplementation can have adverse effects and does not replace the need for a well-balanced diet and other preventive measures.
Choice B rationale:
Engaging in weight-bearing exercises is an effective strategy for reducing the risk of osteoporosis.
Weight-bearing exercises, such as walking, jogging, and resistance training, help to strengthen bones and improve bone density.
Choice C rationale:
Smoking and alcohol consumption are risk factors for osteoporosis and should be avoided as part of prevention strategies.
They can contribute to bone loss and increase the risk of fractures.
Choice D rationale:
Avoiding exposure to sunlight is not an effective strategy for reducing the risk of osteoporosis.
Sunlight exposure is essential for the synthesis of vitamin D in the skin, which is important for calcium absorption and bone health.
Adequate vitamin D levels are crucial for preventing osteoporosis.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
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.
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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