Author Question: A post-menopausal adult client is concerned about the development of osteoporosis and wants to begin ... (Read 27 times)

jilianpiloj · **on:** Jun 25, 2018

A post-menopausal adult client is concerned about the development of osteoporosis and wants to begin preventative activities. Which statement by the nurse is appropriate?

A) You should first determine if you are at risk for the development of osteoporosis.
B) After menopause, the decline is too rapid to begin preventative interventions.
C) Weight-bearing exercise and calcium supplements are helpful in the prevention of osteoporosis.
D) Hormone replacement therapy should be initiated as soon as possible.

Question 2

A young adult client is concerned because the healthcare provider states that the client is demonstrating signs consistent with early onset of osteoporosis.

Which health promotion activities are appropriate for this client?
A) Suggest stopping all physical activity.
B) Recommend reducing the intake of diary in the diet.
C) Instruct on increasing intake of calcium and vitamin D.
D) Discuss the use of estrogen replacement therapy.

joanwhite · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Osteoporosis risk factors increase after menopause. Preventative activities include implementing weight-bearing exercise and beginning calcium supplements. It is not too late to begin prevention activities. Without additional information, it is not possible to determine if the client is a candidate for hormone replacement therapy. Generally, hormone replacement therapy is limited to those women who are experiencing vasomotor manifestations. The client in the scenario has two risk factors presented. Although a full analysis would be beneficial, it does not answer the client's request for information.

Answer to Question 2

Answer: C

Planning should be structured around self-care strategies that reduce clients' risk for developing osteoporosis and/or minimize its symptoms and effects. An appropriate goal for this client is a diet rich in calcium and vitamin D. Therefore, instructing the client to increase intake of these items is appropriate. Walking and weight-bearing exercise help prevent the onset of osteoporosis; therefore, it is not appropriate to suggest that the client stop all physical activity. Dairy is rich in calcium, which is an appropriate food to consume. Reducing intake of dairy is not recommended. Due to the client's age, it is not likely that the client need estrogen replacement therapy at this time.