Rationale 3
: Parathyroid hormone is used to reverse the inhibitory effects of bone formation in secondary
osteoporosis resulting from the use of steroids.
Rationale 4
: Vitamins A and E would not have a direct effect on the progression of osteoporosis.
Global Rationale:
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Client Need Sub:
Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome:
49-1
Question 4
Type:
MCMA
The nurse is planning a community education program on osteoporosis prevention. Which topics should be
included in this program?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text:
Select all that apply.
1.
Lack of hereditary link
2.
Limiting alcohol intake
3.
Higher incidence in both men and women who are obese
4.
Lifetime adequate intake of calcium and vitamin D
5.
Avoidance of cigarette smoking
Correct Answer:
2,4,5
Rationale 1
: There is a higher incidence in those with a family history of fractures and osteoporosis. It is thought
that the disorder is 70% dependent on genetic factors.
Rationale 2
: The excessive use of alcohol increases the risk for developing osteoporosis.
Rationale 3
: There is a higher incidence in small, thin-boned men and women.
Rationale 4
: One way to prevent the onset of osteoporosis is to have an adequate intake of calcium and vitamin D
throughout the lifetime.
Rationale 5
: Cigarette smoking increases the risk for developing osteoporosis.
Global Rationale:
Cognitive Level:
Applying
Client Need:
Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome:
49-1
Question 5
Type:
MCSA
A 50-year-old female patient is concerned that she will develop osteoporosis because both her maternal aunts
have been diagnosed with the disorder. The nurse would help the patient manage which intervention?
1.
Prophylactic nonsteroidal anti-inflammatory medication
2.
A DEXA test
3.
Prescription for risedronate (Actonel)
4.
Daily intake of 2,000 mg of calcium
Correct Answer:
2
Rationale 1
: Nonsteroidal anti-inflammatory medication has no prophylactic effect against osteoporosis.
Rationale 2
: Assessment of bone mass is the primary measurement for osteoporosis. The bone mineral density
test, or DEXA test, uses a technique that measures any skeletal site and then compares bone density values with
other values in a reference population of the same age, race, and gender.
Rationale 3
: Actonel is prescribed for patients diagnosed with osteoporosis and is not used prophylactically.
Rationale 4
: Total dietary intake of calcium should be 1,200 to 1,500 mg. Taking additional calcium is not
indicated and could result in manifestations of hypercalcemia.
