Author Question: The patient, age 58, is diagnosed with osteoporosis after densitometry testing. She has been ... (Read 47 times)

plus1 · **on:** Jul 11, 2018

The patient, age 58, is diagnosed with osteoporosis after densitometry testing. She has been menopausal for 5 years and has been concerned about her risk for osteoporosis because her mother has osteoporosis.

In teaching her about her osteoporosis, which information does the nurse include? a. Even with a family history of osteoporosis, the calcium loss from bones can be slowed by increased calcium intake and exercise.
b. Estrogen replacement therapy must be started to prevent rapid progression of her osteoporosis.
c. With a family history of osteoporosis, there is no way to prevent or slow bone reabsorption.
d. Continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.

Question 2

Mr B, age 73, has a terminal illness. He has entered a nursing home, where he will reside until his death. Until age 70, he worked as a successful bank president and was an active community leader.

His nurse should be alert for signs that he most resents his: A) Mortality
B) Unemployment
C) Family
D) Dependency

CourtneyCNorton · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
To prevent osteoporosis, women are advised to have an adequate daily intake of calcium and vitamin D; exercise regularly; avoid smoking; decrease coffee intake; decrease excess protein in the diet; and engage in regular moderate activity such as walking, bike riding, or swimming at least 3 days a week. A contributing factor may be use of steroids.

Answer to Question 2

D
Feedback:
The elderly often fear that their illness or disability may cause them to lose their independence. Becoming a burden to their families, being unable to meet the demands of daily living, and having to enter a nursing home are some of the fears associated with dependency. Physical pain from an illness may not be as intolerable as the dependency it causes. In Mr B's case, his rapid change from great independence to near total dependence may distress him more than family relationships, the loss of his work role, or his impending death.