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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: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Pharmacological and Parenteral TherapiesNursing/Integrated Concepts: Nursing Process: PlanningLearning Outcome: 49-1Question 4Type: MCMAThe 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 link2. Limiting alcohol intake3. Higher incidence in both men and women who are obese4. Lifetime adequate intake of calcium and vitamin D5. Avoidance of cigarette smokingCorrect Answer: 2,4,5Rationale 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: ApplyingClient Need: Health Promotion and MaintenanceClient Need Sub: Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 49-1Question 5Type: MCSAA 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 medication2. A DEXA test3. Prescription for risedronate (Actonel)4. Daily intake of 2,000 mg of calciumCorrect Answer: 2Rationale 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.