A client has a bone density score of -2.8. What action by the ...

[Mr3Hunna]

A client has a bone density score of -2.8. What action by the nurse is best?
 
  a. Asking the client to complete a food diary
  b. Planning to teach about bisphosphonates
  c. Scheduling another scan in 2 years
  d. Scheduling another scan in 6 months

Question 2

A client has been advised to perform weight-bearing exercises to help minimize osteoporosis. The client admits to not doing the prescribed exercises. What action by the nurse is best?
 
  a. Ask the client about fear of falling.
  b. Instruct the client to increase calcium.
  c. Suggest other exercises the client can do.
  d. Tell the client to try weight lifting.

[ashely1112]

Answer to Question 1

ANS: B
A T-score from a bone density scan at or lower than -2.5 indicates osteoporosis. The nurse should plan to teach about medications used to treat this disease. One class of such medications is bisphosphonates. A food diary is helpful to determine if the client gets adequate calcium and vitamin D, but at this point, dietary changes will not prevent the disease. Simply scheduling another scan will not help treat the disease either.

Answer to Question 2

ANS: A
Fear of falling can limit participation in activity. The nurse should first assess if the client has this fear and then offer suggestions for dealing with it. The client may or may not need extra calcium, other exercises, or weight lifting.

[Mr3Hunna]

Excellent

[bulacsom]

TYSM