An older female adult seeks advice from the nurse about ...

[jon_i]

An older female adult seeks advice from the nurse about preventing further bone loss after being diagnosed with osteopenia. To achieve the woman's goal, which teaching should the nurse provide to enhance activity of osteoblasts?
 
  a. Limit sodium intake.
  b. Refrain from alcohol use.
  c. Eat high-fiber foods.
  d. Exercise with weights.

Question 2

Which is a healthy practice recommended for a person at risk for OA?
 
  a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spi-nach covered with melted cheese for din-ner; and ice cream for dessert
  b. Long-term estrogen administration as ad-junct therapy
  c. Alendronate (Fosamax) taken with a snack just before bedtime
  d. Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog on a high-fiber bun at lunch; cocktails be-fore dinner; steak with brown rice, celery, and red wine for dinner

[Ptupou85]

Answer to Question 1

D

Feedback
A Incorrect. Sodium impairs calcium absorption, so the nurse instructs her to limit sodium to reduce bone loss.
B Incorrect. Alcohol impairs calcium absorption, so the nurse instructs her to avoid alcoholic beverages.
C Incorrect. Fiber inhibits calcium absorption.
D Correct. In osteopenia, bone metabolism is unbalanced because the action of osteoclasts is greater than the action of osteoblasts. To effectively treat osteope-nia, the balance between the activities of the bone cells must be shifted to more osteoblast (bone-building) activity because increasing osteoblast activity helps to reduce bone loss and at the same time to gain bone density. Lifting weights stimulates osteoblasts to build bone through the application of opposing forces on the bone and helps to achieve the woman's goal by increasing physical activ-ity (to stem bone loss) and by generating more bone (to gain bone density).

Answer to Question 2

A
These foods in these quantities supply 1204 mg of calcium. Administering estrogen can increase the risk of cancer and heart disease. Alendronate (Fosamax) must be taken with a full glass of water on an empty stomach after awakening. Afterward, the patient must sit upright and refrain from eating or drinking for 30 minutes. Alcohol and high amounts of protein and salt inhibit cal-cium uptake, whereas caffeine, excess fiber, and phosphorus (in the cola) promote calcium ex-cretion.

[jon_i]

Excellent

[tuate]

TYSM