Author Question: A 60-year-old woman has a central dual-energy x-ray absorptiometry with a T-score of 1.9 . A health ... (Read 79 times)

azncindy619 · **on:** Jul 24, 2018

A 60-year-old woman has a central dual-energy x-ray absorptiometry with a T-score of 1.9 . A health history reveals no risk factors for osteoporosis. The primary care NP should:

a. prescribe alendronate sodium (Fosamax).
b. counsel her to increase her physical activity.
c. prescribe calcitonin (Miacalcin nasal spray).
d. prescribe supplemental calcium and vitamin D.

Question 2

The primary care NP prescribes an extended-cycle monophasic pill regimen for a young woman who reports having multiple partners. Which statement by the patient indicates she understands the regimen?

a. I have to take a pill only every 3 months.
b. I should expect to have only four periods each year.
c. I will need to use condoms for only 7 more days.
d. This type of pill has fewer side effects than other types.

robbielu01 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
This woman's T-score is less than 2.5 and indicates osteoporosis. She should begin treatment with a bisphosphonate. Increasing physical activity and taking supplemental calcium and vitamin D are indicated as well but only as part of a medication regimen. Calcitonin is not a first-line medication.

Answer to Question 2

B
The extended-cycle pills have fewer pill-free intervals, so women have only four periods a year. Patients take pills every day. Because this patient has multiple partners, she should continue to use condoms. This type of pill has the same side effects as other types.