30 Questions
What is the recommended adequate intake level of calcium for men aged 50 to 70 years?
1000 mg daily
What is the recommended adequate intake level of calcium for women aged 51 and older and men aged 71 and older?
1200 mg daily
What is the recommended daily intake of vitamin D for most adults?
400-1000 IU daily
How does regular weight-bearing exercise promote bone formation?
By stimulating an increase in BMD
What is the effect of weight training on bone mineral density (BMD)?
It stimulates an increase in BMD
How does exercise improve bone health?
By reducing the incidence of falls and fractures
Which food contains about 300 mg of calcium per serving?
A cup of milk or calcium-fortified orange juice
What is the concern associated with administering higher dosages of calcium?
Increased risk of adverse events such as renal calculi
What is the potential adverse event associated with higher dosages of vitamin D?
Renal calculi
What type of exercise is recommended to promote bone formation?
Aerobic, bone-stressing exercise
What is the main focus of patient education related to osteoporosis?
Improving bone strength and preventing injury
Which factor is emphasized for slowing the progression of osteoporosis?
Weight-bearing exercise
What is recommended to relieve back pain resulting from compression fracture?
Knee flexion and intermittent local heat
What is essential to prevent disuse atrophy and retard progressive bone demineralization?
Isometric exercises
Which medication is a synthetic parathyroid hormone that increases bone strength?
Teriparatide
What is a potential adverse effect of denosumab treatment?
Hypocalcemia
What is the main purpose of RANKL Inhibitor treatment?
Prevention and treatment of osteoporosis
What is the recommended daily activity to enhance the body's ability to produce vitamin D?
Outdoor weight-bearing activity
What is a common problem related to immobility and medications in osteoporosis patients?
Paralytic ileus
What is a potential adverse effect of teriparatide treatment?
Atypical femur fracture
What is the recommended age for women to avoid excessive alcohol and tobacco to manage osteoporosis?
50+
What is not recommended for primary prevention of bone loss in postmenopausal women?
Hormone therapy with estrogen
How are hip fractures from osteoporosis typically managed?
Surgically
What is recommended for managing osteoporotic compression fractures of vertebrae?
Conservative management
Which procedure can provide rapid relief of acute pain in osteoporotic compression fractures?
Vertebroplasty
What is needed for nursing assessment for osteoporosis?
Health history, family history, and lifestyle habits
What may be a major nursing diagnosis for patients with osteoporosis?
Lack of knowledge about osteoporotic process and treatment regimen
What are the goals for patients with osteoporosis?
Knowledge about osteoporosis, pain relief, improved bowel elimination, and absence of additional fractures
What are the key nursing considerations for osteoporosis medications?
Adequate calcium and vitamin D intake
What is the role of estrogen in preserving bone mineral density?
It preserves bone mineral density
Study Notes
Osteoporosis Management and Nursing Process
- Women postmenopausal and men 50+ should avoid excessive alcohol and tobacco
- Hormone therapy with estrogen not recommended for primary prevention of bone loss in postmenopausal women
- Hip fractures from osteoporosis managed surgically or by closed/open reduction with internal fixation
- Osteoporotic compression fractures of vertebrae managed conservatively, referral to osteoporosis specialist recommended
- Vertebroplasty or kyphoplasty can provide rapid relief of acute pain in osteoporotic compression fractures
- Smoking's relationship with bone health needs further research
- Nursing assessment for osteoporosis includes health history, family history, and lifestyle habits
- Major nursing diagnoses may include lack of knowledge about osteoporotic process and treatment regimen
- Goals for patients include knowledge about osteoporosis, pain relief, improved bowel elimination, and absence of additional fractures
- Key nursing considerations for osteoporosis medications include adequate calcium and vitamin D intake
- Side effects and administration guidelines for bisphosphonates and other osteoporosis medications
- Estrogen's role in preserving bone mineral density and contraindications for its use
Test your knowledge of osteoporosis management and the nursing process with this quiz. Explore key considerations for assessment, treatment, and patient education, as well as nursing interventions and medication management for osteoporosis.
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