The nurse is planning care for a female adult client who is ...

[Beheh]

The nurse is planning care for a female adult client who is high-risk for developing osteoporosis. Which interventions will decrease the client's risk of developing this health problem?
 
  Select all that apply.
  A) Increasing the intake of alcoholic beverages
  B) Isometric exercise for at least 30 minutes three times per week
  C) Weight-bearing exercises such as walking
  D) Having a yearly bone mineral density (BMD) test
  E) A diet with adequate amounts of calcium and vitamin D

Question 2

A client who is at risk for developing osteoporosis asks what can be done to decrease the risk of actually developing the disease. Which intervention would be the most beneficial for this client?
 
  A) Decreasing the amount of calcium in the client's diet
  B) Providing the client with assisted range of motion exercising twice daily
  C) Increasing regular weight-bearing activities
  D) Protecting the client's bones with strict bed rest

[adammoses97]

Answer to Question 1

Answer: C, E

Interventions that may decrease this client's risk of developing osteoporosis include regular weight-bearing exercise, such as walking, as this activity slows bone loss. Other intervention include encouraging clients to consume adequate amounts of calcium and vitamin D in their diets to prevent osteoporotic fracture. A BMD test is used to determine bone strength and risk for osteoporotic fracture. This test will monitor the client's risk for fracture but it does not decrease the client's risk for developing osteoporosis Measures to prevent or treat osteoporosis include limiting the intake of beverages containing alcohol, caffeine, and phosphorus. Isometric exercises are not effective against osteoporosis.

Answer to Question 2

Answer: C

Osteoporosis is a demineralization of the bone in which calcium leaves the bone matrix. One causative factor is lack of weight-bearing activity. Weight bearing helps to move calcium back into the bone, thereby strengthening them. A standard intervention for those attempting to prevent osteoporosis is beginning an exercise plan that includes weight-bearing activities. Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity. Calcium in the diet is increased in order to decrease the risk for developing osteoporosis. Assisted range of motion exercises are not weight-bearing and do not help decrease the risk for osteoporosis.