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Questions and Answers
Which medication is indicated for the prevention and treatment of osteoporosis in women who are postmenopausal, particularly those with breast cancer?
Which medication is indicated for the prevention and treatment of osteoporosis in women who are postmenopausal, particularly those with breast cancer?
- Teriparatide
- Raloxifene (correct)
- PTH Analogue
- Denosumab
What is a common adverse effect of Denosumab?
What is a common adverse effect of Denosumab?
- VTE formation
- Hypocalcemia (correct)
- Cellulitis
- Atypical femur fracture
Which factor is emphasized in patient education related to osteoporosis?
Which factor is emphasized in patient education related to osteoporosis?
- High intake of caffeine and alcohol
- Limited exposure to sunlight
- Regular consumption of vitamin C and iron
- Sufficient calcium, vitamin D, and weight-bearing exercise (correct)
What is recommended to relieve back pain resulting from compression fracture?
What is recommended to relieve back pain resulting from compression fracture?
What can help prevent or minimize constipation in patients with vertebral collapse?
What can help prevent or minimize constipation in patients with vertebral collapse?
What is essential to prevent disuse atrophy and retard progressive bone demineralization?
What is essential to prevent disuse atrophy and retard progressive bone demineralization?
What is a common cause of falls in older adults?
What is a common cause of falls in older adults?
What is important for fall prevention in inpatient settings?
What is important for fall prevention in inpatient settings?
What is recommended to create a safe environment for older adults at home?
What is recommended to create a safe environment for older adults at home?
What is encouraged to enhance the body's ability to produce vitamin D?
What is encouraged to enhance the body's ability to produce vitamin D?
What is the recommended adequate intake level of calcium for women aged 51 and older?
What is the recommended adequate intake level of calcium for women aged 51 and older?
Which food contains about 300 mg of calcium?
Which food contains about 300 mg of calcium?
What is the recommended vitamin D intake for most adults?
What is the recommended vitamin D intake for most adults?
How does weight training affect bone mineral density (BMD)?
How does weight training affect bone mineral density (BMD)?
What is the recommended adequate intake level of calcium for men aged 50 to 70 years?
What is the recommended adequate intake level of calcium for men aged 50 to 70 years?
What is the primary source of vitamin D intake for most adults?
What is the primary source of vitamin D intake for most adults?
What type of exercise promotes bone formation?
What type of exercise promotes bone formation?
What is the concern associated with administering higher dosages of calcium?
What is the concern associated with administering higher dosages of calcium?
How does a diet rich in calcium and vitamin D protect against skeletal demineralization?
How does a diet rich in calcium and vitamin D protect against skeletal demineralization?
What is the recommended duration of weight-bearing exercise to promote bone formation?
What is the recommended duration of weight-bearing exercise to promote bone formation?
Which medication is the most potent bisphosphonate for inhibiting bone loss?
Which medication is the most potent bisphosphonate for inhibiting bone loss?
What is a major nursing diagnosis that may be associated with osteoporosis?
What is a major nursing diagnosis that may be associated with osteoporosis?
Which type of fracture due to osteoporosis is managed surgically?
Which type of fracture due to osteoporosis is managed surgically?
What is not recommended for preventing bone loss in postmenopausal women?
What is not recommended for preventing bone loss in postmenopausal women?
What is a key nursing consideration for osteoporosis medication?
What is a key nursing consideration for osteoporosis medication?
What is a potential side effect of bisphosphonates?
What is a potential side effect of bisphosphonates?
What is a goal for osteoporosis patients?
What is a goal for osteoporosis patients?
What is used to preserve bone mineral density and can be administered orally?
What is used to preserve bone mineral density and can be administered orally?
What is a nursing assessment consideration for osteoporosis?
What is a nursing assessment consideration for osteoporosis?
What can provide rapid pain relief but may have complications for vertebral fractures?
What can provide rapid pain relief but may have complications for vertebral fractures?
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Study Notes
Osteoporosis Management and Nursing Process
- Postmenopausal women and men over 50 should limit alcohol intake and quit smoking
- Hormone therapy with estrogen is not recommended for preventing bone loss in postmenopausal women
- Hip fractures due to osteoporosis are managed surgically, while vertebral fractures are managed conservatively
- Vertebroplasty or kyphoplasty can provide rapid pain relief but may have complications
- Nursing assessment for osteoporosis includes family history, fractures, diet, exercise, menopause onset, and medication use
- Major nursing diagnoses may include lack of knowledge about osteoporosis, acute pain, constipation, and risk for injury
- Goals for osteoporosis patients include knowledge about the condition, pain relief, improved bowel elimination, and prevention of additional fractures
- Bisphosphonates are used to inhibit bone loss and increase bone mass, with potential side effects and adverse effects
- Alendronate and risedronate are administered orally, while ibandronate may be given intravenously
- Zoledronic acid is the most potent bisphosphonate, but it is contraindicated in patients with certain kidney conditions
- Estrogen is used to preserve bone mineral density and can be administered orally
- Nursing considerations for osteoporosis medication include adequate calcium and vitamin D intake and managing side effects
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