Author Question: A client who has osteoporosis says, I am exercising more. I go to the gym once a week. How should ... (Read 19 times)

shenderson6 · **on:** Jul 23, 2018

A client who has osteoporosis says, I am exercising more. I go to the gym once a week. How should the nurse respond?

1. What kind of exercises are you doing
2. You should try to exercise three to five times a week.
3. That is not enough.
4. Is there somewhere that you can walk on the days you don't go to the gym?
5. Exercise will not improve your osteoporosis.

Question 2

The mechanism of action of selective estrogen receptor modulators (SERMs), such as raloxifene (Evista), is to

1. increase calcium levels in the bone.
2. slow bone resorption.
3. inhibit synthesis of microtubules.
4. increase bone mass and density.

ky860224 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: In order to affect osteoporosis, exercise must be weight-bearing.
Rationale 2: To affect osteoporosis, exercise should be done three to five times weekly.
Rationale 3: This is a true statement, but is not therapeutic. The nurse should encourage this client's efforts at exercise.
Rationale 4: This client should exercise more frequently and walking is a good form of exercise for those with osteoporosis.
Rationale 5: Weight-bearing exercise has been shown to slow or improve effects of osteoporosis.

Answer to Question 2

Correct Answer: 4
Rationale 1: Calcium supplements increase calcium levels.
Rationale 2: Bisphosphonates slow bone resorption.
Rationale 3: Selective estrogen receptor modulators do not inhibit synthesis of microtubules.
Rationale 4: Selective estrogen receptor modulators increase bone mass and density through the estrogen receptor.