Osteoporosis: Bone Disease
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Questions and Answers

What is the result of gradual collapse of the vertebral body without symptoms?

  • Spinal stenosis
  • Lordosis
  • Scoliosis
  • Kyphosis (correct)
  • What is the term for the outward curvature of the spine in the upper back?

  • Lordosis
  • Scoliosis
  • Kyphosis (correct)
  • Spina bifida
  • What happens to the abdominal muscles as a result of postural changes?

  • They become weaker
  • They become more tense
  • They become stronger
  • They relax (correct)
  • What is another term for protruding abdomen?

    <p>Abdominal protrusion</p> Signup and view all the answers

    What is pulmonary insufficiency?

    <p>A breathing disorder</p> Signup and view all the answers

    What is a potential consequence of balance issues?

    <p>Increase in fall risk</p> Signup and view all the answers

    What is the term for the increased risk of falling due to balance problems?

    <p>Fall risk</p> Signup and view all the answers

    Which of the following is NOT a term for a medical condition?

    <p>Fall risk</p> Signup and view all the answers

    What is the most prevalent bone disease in the world?

    <p>Osteoporosis</p> Signup and view all the answers

    How many osteoporotic fractures occur every year?

    <p>Over 1.5 million</p> Signup and view all the answers

    What is a major risk factor for osteoporosis?

    <p>Sedentary lifestyle</p> Signup and view all the answers

    What is osteopenia?

    <p>Low bone mineral density</p> Signup and view all the answers

    What is the result of altered bone turnover in osteoporosis?

    <p>Increased bone resorption</p> Signup and view all the answers

    What happens to bones in osteoporosis?

    <p>They become progressively porous, brittle, and fragile</p> Signup and view all the answers

    What is primary osteoporosis?

    <p>Osteoporosis that occurs in women after menopause</p> Signup and view all the answers

    What is a common risk factor for osteoporosis?

    <p>Smoking</p> Signup and view all the answers

    What is the result of decreased calcitonin?

    <p>Increased bone resorption</p> Signup and view all the answers

    What is a common medication that increases the risk of osteoporosis?

    <p>Corticosteroids</p> Signup and view all the answers

    What type of ileus may a patient develop if the vertebral collapse involves the T10-L2 vertebrae?

    <p>Paralytic ileus</p> Signup and view all the answers

    Why is it important for the nurse to monitor the patient's bowel sounds?

    <p>To assess the patient's bowel function</p> Signup and view all the answers

    What is the primary reason for the nurse to monitor the patient's intake?

    <p>To assess the patient's nutritional status</p> Signup and view all the answers

    What is the nurse monitoring the patient's bowel activity for?

    <p>Changes in bowel habits</p> Signup and view all the answers

    What is the potential consequence of vertebral collapse involving the T10-L2 vertebrae?

    <p>Paralytic ileus</p> Signup and view all the answers

    What type of exercises can strengthen trunk muscles?

    <p>Isometric exercises</p> Signup and view all the answers

    What does the nurse encourage to promote good posture?

    <p>Walking and good body mechanics</p> Signup and view all the answers

    Why is good posture important?

    <p>To reduce the risk of back pain</p> Signup and view all the answers

    What can help maintain good posture?

    <p>Good body mechanics</p> Signup and view all the answers

    What is the benefit of strengthening trunk muscles?

    <p>Better posture and reduced back pain</p> Signup and view all the answers

    Study Notes

    Osteoporosis

    • Osteoporosis is the most prevalent bone disease in the world.
    • More than 1.5 million osteoporotic fractures occur every year.
    • Fractures requiring hospitalization have risen significantly over the past two decades.
    • More than 10 million Americans have osteoporosis, and an additional 33.6 million have osteopenia (i.e., low bone mineral density).

    Risk Factors

    • Physical inactivity
    • Sedentary lifestyle
    • Lack of weight-bearing exercise
    • Genetics
    • Female sex
    • Family history
    • Small-framed women
    • Caffeine consumption
    • Smoking
    • Low testosterone in men
    • Postmenopause
    • Advanced age
    • Decreased calcitonin
    • Comorbidity (e.g., anorexia nervosa, glucose tolerance, diabetes, rheumatoid disease, hyperthyroidism, bone fracture, malabsorption syndrome, renal failure, and celiac disease)
    • Medications (e.g., corticosteroids, antiseizure, heparin, thyroid hormone, PPI)

    Pathophysiology

    • Reduced bone mass
    • Deterioration of bone matrix
    • Diminished bone architectural strength
    • Altered normal homeostatic bone turnover
    • Imbalanced bone resorption and formation rates
    • Bones become progressively porous, brittle, and fragile

    Types of Osteoporosis

    • Primary osteoporosis occurs in women after menopause (usually by age 51)

    Complications

    • Kyphosis (Dowager hump)
    • Postural changes result in relaxation of the abdominal muscles
    • Protruding abdomen
    • Pulmonary insufficiency
    • Increased risk for falls related to balance issues
    • Paralytic ileus (if vertebral collapse involves T10–L2 vertebrae)

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    Description

    Learn about osteoporosis, a bone disease that affects bone density and strength, leading to fractures and other complications. Discover its prevalence, symptoms, and impact on global health.

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