30 Questions
What is the recommended adequate intake level of calcium for men aged 50 to 70 years?
1000 mg daily
Which food contains about 300 mg of calcium?
A cup of milk or calcium-fortified orange juice
What is the recommended daily calcium intake for women aged 51 and older and men aged 71 and older?
1200 mg daily
What is the recommended vitamin D intake for most adults?
400-1000 IU daily
What type of exercise promotes bone formation?
Weight training
What is the concern associated with administering higher dosages of calcium?
Renal calculi
What is the impact of exercise on balance?
Improves balance
What is the impact of regular weight-bearing exercise on bone formation?
Promotes bone formation
What is the recommended daily calcium intake for men aged 40 to 60 years?
1000 mg daily
What is the recommended vitamin D intake for most adults, considering age and sex?
400-1000 IU daily
Which medication is a monoclonal antibody that increases BMD and reduces the porosity of cortical bone?
Denosumab
What is a key factor emphasized in patient education related to osteoporosis?
Importance of regular weight-bearing exercise
Which adverse effect is associated with Raloxifene?
VTE formation
What intervention is recommended for relief of back pain resulting from compression fracture?
Use of intermittent local heat
What is essential to prevent disuse atrophy and retard progressive bone demineralization?
Isometric exercises
What is a key consideration for preventing falls in older adults?
Diminished senses and cardiovascular responses
Which medication must be refrigerated and is administered via daily self-administered subcutaneous injections for up to 2 years?
Teriparatide
What is a key factor emphasized in patient education related to osteoporosis medication therapy?
Increased probability of sustaining another fracture
Which medication inhibits the effects of TNF on osteoclasts and their activity?
Raloxifene
Which adverse effect is associated with Denosumab?
Osteonecrosis of the jaw
Which age group should avoid excessive alcohol intake and tobacco use to manage osteoporosis?
Women who are postmenopausal and men aged 50 and older
What therapy is not recommended for primary prevention of bone loss in postmenopausal women?
Hormone therapy with estrogen
How are hip fractures due to osteoporosis usually managed?
Surgically with joint replacement or closed/open reduction with internal fixation
What may be required for the management of osteoporotic compression fractures of the vertebrae?
Conservative management and referral to an osteoporosis specialist
What can provide rapid relief of acute pain in vertebral fractures?
Vertebroplasty or kyphoplasty
What are included in the assessment for osteoporosis?
Family history, fractures, dietary habits, menopause onset, and medication use
What are potential nursing diagnoses for osteoporosis patients?
Lack of knowledge about osteoporosis, acute pain, constipation risk, and risk for injury
What are major goals for osteoporosis patients?
Knowledge about the condition, pain relief, improved bowel elimination, and absence of additional fractures
What do bisphosphonates do to decrease bone loss and increase bone mass?
Inhibit osteoclasts
Which medication is used for osteoporosis treatment in postmenopausal women and men taking corticosteroids?
Alendronate and risedronate
Study Notes
Osteoporosis Management and Nursing Process
- Women who are postmenopausal and men aged 50 and older should avoid excessive alcohol intake and tobacco use.
- Hormone therapy with estrogen is not recommended for primary prevention of bone loss in postmenopausal women.
- Hip fractures due to osteoporosis are managed surgically with joint replacement or closed/open reduction with internal fixation.
- Osteoporotic compression fractures of the vertebrae are managed conservatively and may require referral to an osteoporosis specialist.
- Vertebroplasty or kyphoplasty can provide rapid relief of acute pain in vertebral fractures but have contraindications.
- Assessment for osteoporosis includes family history, fractures, dietary habits, menopause onset, and medication use.
- Nursing diagnoses may include lack of knowledge about osteoporosis, acute pain, constipation risk, and risk for injury.
- Major goals for osteoporosis patients include knowledge about the condition, pain relief, improved bowel elimination, and absence of additional fractures.
- Bisphosphonates inhibit osteoclasts to decrease bone loss and increase bone mass, but have potential adverse effects.
- Alendronate and risedronate are used for osteoporosis treatment in postmenopausal women and men taking corticosteroids.
- Ibandronate may be administered orally monthly or intravenously every 3 months for osteoporosis treatment in postmenopausal women.
- Zoledronic acid, the most potent bisphosphonate, is contraindicated in patients with low creatinine clearance or chronic kidney disease.
Test your knowledge of osteoporosis management and nursing process with this quiz. Learn about assessment, interventions, medications, and surgical management for osteoporosis-related fractures.
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