A client recently diagnosed with osteoporosis is prescribed bisphosphonates.
The client asks the nurse, "How do these medications work?" Which response by the nurse is accurate?

"Bisphosphonates increase calcium absorption in your intestines.”

"Bisphosphonates inhibit bone resorption and prevent further bone loss.”

"Bisphosphonates stimulate bone formation by promoting collagen production.”

"Bisphosphonates reduce pain associated with osteoporosis.”

Answer and Explanation

The Correct Answer is B

This response by the nurse is accurate.

Bisphosphonates are a class of medications commonly prescribed to treat osteoporosis.

They work by inhibiting bone resorption, which means they reduce the activity of cells that break down bone tissue (osteoclasts).

By doing so, bisphosphonates help prevent further bone loss and can increase bone density over time.

This mechanism of action is essential in managing osteoporosis and reducing the risk of fractures.

Choice A rationale:

This statement is not accurate.

Bisphosphonates do not increase calcium absorption in the intestines.

Instead, they primarily focus on regulating bone turnover and preventing bone resorption.

Choice C rationale:

This statement is also not accurate.

Bisphosphonates do not stimulate bone formation or promote collagen production.

Their primary role is to reduce bone resorption.

Choice D rationale:

This statement is incorrect.

Bisphosphonates are not primarily used to reduce pain associated with osteoporosis.

While they can indirectly reduce pain by preventing fractures, their main goal is to maintain bone density and reduce the risk of fractures.

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Correct Answer is C

Explanation

"You should avoid calcium-rich foods to prevent further bone loss." This statement is incorrect and not appropriate guidance for a patient with osteoporosis.

Calcium is essential for maintaining bone health, and avoiding calcium-rich foods can exacerbate bone loss.

Osteoporosis patients need an adequate intake of calcium to support their bone density.

Choice B rationale:

"It's important to maintain a diet low in vitamin D to manage your condition." This statement is also incorrect.

Vitamin D is crucial for calcium absorption and bone health.

Patients with osteoporosis should not maintain a low vitamin D diet but should ensure they have sufficient vitamin D intake, either through diet, supplements, or sunlight exposure.

Choice C rationale:

"You should focus on a balanced diet rich in calcium and vitamin D." This statement is the correct answer.

Osteoporosis patients should indeed focus on a balanced diet rich in both calcium and vitamin D.

Calcium is needed for bone strength, and vitamin D helps the body absorb calcium effectively.

A balanced diet with these nutrients is essential for managing osteoporosis.

Choice D rationale:

"A diet high in sugar and processed foods is ideal for managing osteoporosis." This statement is entirely incorrect.

A diet high in sugar and processed foods can be detrimental to bone health and overall well-being.

Such a diet can lead to inflammation and negatively impact bone density.

It is not advisable for managing osteoporosis.

A. Scoliosis. B. Lordosis. C. Kyphosis. D. Osteoarthritis.

Correct Answer is C

Explanation

Choice C rationale:

Kyphosis is the medical term for the excessive outward curvature of the spine that the nurse observes in this client.

Kyphosis results in a forward rounding of the back and is often seen in older adults with osteoporosis.

When osteoporosis weakens the vertebrae, they become more prone to compression fractures, leading to the characteristic hunched posture of kyphosis.

Choice A rationale:

Scoliosis is not the correct term for the excessive outward curvature of the spine observed in this client.

Scoliosis is characterized by a lateral (side-to-side) curvature of the spine, not a forward rounding of the back.

Choice B rationale:

Lordosis is also not the correct term for the excessive outward curvature of the spine observed in this client.

Lordosis is an excessive inward curvature of the spine, typically in the lumbar (lower back) region, creating a swayback appearance.

Choice D rationale:

Osteoarthritis is unrelated to the observed spinal curvature.

Osteoarthritis is a degenerative joint disease that primarily affects joints, not the overall curvature of the spine.

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A client recently diagnosed with osteoporosis is prescribed bisphosphonates. The client asks the nurse, "How do these medications work?" Which response by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A client recently diagnosed with osteoporosis is prescribed bisphosphonates.
The client asks the nurse, "How do these medications work?" Which response by the nurse is accurate?