An older adult patient is admitted with a vertebral compression fracture. For which procedure does the nurse anticipate preparing the patient?
Multiple choice question
Kyphoplasty
The nurse is educating an older adult patient with osteoporosis that has a sedentary lifestyle. What should the nurse include when discussing this with the patient?`
Quit smoking and reduce alcohol intake.
A patient has clinical manifestations that indicate the presence of Paget's disease. When reviewing the laboratory results, which results confirm this diagnosis?
Multiple choice question
Elevated serum alkaline phosphatase levels
The health care provider determines that a patient with Paget's disease needs help slowing down bone reabsorption. What medication does the nurse anticipate educating the patient regarding?
Multiple choice question
Alendronate
A patient is determined to have a vitamin D deficiency when the laboratory work is reviewed and supplementation is discussed. What should the nurse inform the patient might occur if the deficiency is uncorrected?
Multiple choice question
Bone softening
Bisphosphonates have been recommended for a patient with osteoporosis. What patient education is important for the nurse to include?
Multiple selection question
Take them with a full glass of water.
Take them 30 minutes before food or medications.
Remain upright for at least 30 minutes after taking a dose.
The nurse is caring for an older adult patient that is being treated for Paget's disease. Which medications does the nurse expect to find in the patient's prescription?
Multiple selection question
Calcitonin
Bisphosphonates
A patient is prescribed bisphosphonates for the treatment of Paget's disease. What outcome does the nurse expect from the administration of this medication?
Reduction in bone resorption
The nurse is reviewing the diagnostic test results for a patient with Paget's disease. What findings on the x-ray report does the nurse anticipate reviewing?
Multiple choice question
Curved shape of the affected bone
A patient is being evaluated for the treatment of osteoporotic vertebral fractures. Which invasive procedure does the nurse prepare the patient for?
Multiple choice question
Kyphoplasty
A patient taking calcitonin reports facial flushing and nausea and is considering discontinuation of the medication. What can the nurse suggest that will reduce these side effects?
Multiple choice question
Administering the drug intramuscular (IM)
The nurse recommends taking calcium supplements to a patient with osteoporosis. Which supplement does the nurse recommend?
Multiple choice question
Calcium carbonate
The nurse knows the risk of bone fractures increases for women as they age. Bone density tests are recommended for all women over which age?
Multiple choice question
65
What is the correlation of bone resorption to bone deposition in osteoporosis?
Bone resorption exceeds bone deposition.
The patient is taking medications for the treatment of asthma. Which medication does the nurse educate the patient about that contributes to the increased risk of osteoporosis?
Corticosteroids
When discussing the prevention of osteomalacia with an older adult patient, what should the nurse be sure to include?
Control of weight to prevent obesity
A patient is prescribed teriparatide. What information is accurate for the nurse to include in the patient's education related to medication frequency and route of administration?
Once a day, subcutaneously
The patient is prescribed calcium supplements. What does the nurse recommend to help increase calcium absorption into the bone?
Vitamin D
The nurse is admitting a patient to the clinic that is suspected of having osteomalacia. Which diagnostic test should the nurse prepare the patient for to confirm the diagnosis?
X-ray
A patient with morbid obesity is scheduled for bariatric surgery. Which condition needs to be assessed by the nurse who is providing preoperative care to the patient?
Osteomalacia
The nurse is providing information to a patient with Paget's disease about the positive effects of physical therapy. Which activity does the nurse suggest to the patient?
Walking
A patient is suspected of having Paget's disease. What diagnostic test will the nurse prepare the patient for that will confirm the diagnosis?
Bone scan
A patient having a blood test remarks, "I think my head is getting bigger. My hats don't fit me anymore." The nurse suspects what diagnosis?
Paget's disease
The nurse is helping the patient make a list of foods high in calcium. Which foods does the nurse recommend?
8 oz yogurt
3 oz salmon
1 oz cottage cheese
A patient diagnosed with osteomalacia is prescribed nutritional therapy and phosphorus supplements. Which other nonpharmacologic instruction is appropriate for the nurse to include on the patient's care plan?
Encouraging the patient to expose self to sunlight
patient has been prescribed vitamin D 3 and vitamin D 2 supplements for treatment of osteomalacia. What does the nurse determine is the primary goal of treatment for this patient?
Recalcification of the bones
A patient that is postmenopausal that is at risk for breast cancer is prescribed a medication for the treatment of osteoporosis. Which medication will the nurse educate the patient about?
raloxifene
The patient asks the nurse which foods are good sources of calcium. Which food does the nurse recommend?
Multiple choice question
Milk
The nurse is administering an intravenous infusion of zoledronic acid to a patient being treated for osteoporosis. How often should the nurse inform the patient they will be receiving this medication?
Annually from the time of the last infusion
Which factor makes women more prone to osteoporosis compared to men?
Estrogen deficiency
An older adult patient with hyperlipidemia is also at a high risk for the development of osteomalacia. Which medication prescribed for the hyperlipidemia should the nurse question that increases this risk for the patient?
Cholestyramine
Which distinct features of a new bone are revealed in the x-ray of a patient with Paget's disease?
Large and disorganized
A patient with osteoporosis has been on bed rest for one month after a complicated surgery. What is the patient at risk for after returning to daily activities?
Bone fracture
The nurse is providing discharge teaching to a patient after a stress fracture of the foot. Which drug does the nurse inform the patient would increase the risk for osteoporosis?
Betamethasone
Calcium carbonate
A patient with Paget's disease is encouraged to wear a brace to relieve back pain and provide support when in the upright position. What should the nurse instruct this patient to do?
Attend physical therapy.
Avoid falls and subsequent fractures.
Examine the skin for damage due to friction.
A patient is being treated for a spinal vertebral fracture due to osteoporosis. Which condition poses a risk to the patient?
Wedging and fractures of the vertebrae over time
A woman has been diagnosed with osteoporosis after fracturing a hip. Which explanation does the nurse give to the patient about this disorder?
Women have less bone mass because they have smaller frames.
A patient that is postmenopausal asks the nurse why she would not be taking estrogen therapy for the primary treatment to prevent osteoporosis. What is the best response by the nurse?
Estrogen therapy places women at risk for breast and uterine cancer.
A patient is diagnosed with Paget's disease and asks the nurse to explain what the disease does to the bones. What is the best response by the nurse to describe the disease?
Excessive bone resorption followed by bone regeneration
The nurse is planning the care of an older adult patient being treated for Paget's disease. What nursing actions should be included in the plan of care?
Encourage physical therapy.
Encourage the patient to wear a corset brace.
The nurse is educating a patient that is prescribed calcitonin. What dietary supplement should the nurse encourage the patient to take while on this medication?
Multiple choice question
Protein
Calcium
Vitamins
Amino acids
Calcium
A patient diagnosed with osteoporosis has a daily diet that includes 1 cup of skim milk, 1 cup of soft-serve ice-cream, 1 cup of cooked spinach, 1 cup of almonds, 8 oz. of yogurt, and 1 egg. What should the nurse record as the patient's calcium intake?
1521 mg/day
A patient is prescribed zoledronic acid for the treatment of Paget's disease. What outcome does the nurse anticipate from the administration of this medication?
Decreased bone resorption
The nurse is reviewing the bone density score for a patient that is suspected of having osteopenia. Which score does the nurse determine will confirm this suspicion?
T-score below -2.5
The nurse is providing education to a community group on supplemental vitamin D. Which patients does the nurse recommend take 800 IU daily?
A 50-year-old male living in Wisconsin
A 16-year-old female who is bedridden
A 65-year-old female retired school teacher
A 35-year-old debilitated female in long-term care
A patient is at risk for bone fracture related to osteoporosis. Which weight-bearing activity does the nurse instruct the patient to use to reduce risk of bone fracture?
Walk 30 minutes daily.
A patient is demonstrating signs of Paget's disease. When obtaining a health history from the patient, which initial manifestation reported does the nurse recognize correlates with this diagnosis?
Bone pain
A patient has been taking bisphosphonates for the treatment of osteoporosis and has demonstrated a low tolerance to the drug. What alternative medication does the nurse anticipate will be prescribe?
Calcitonin
Bone remodeling is consistent in reducing fractures unless the patient has which condition?
Osteoporosis
A woman is considering estrogen therapy. About which priority risk factor does the nurse teach her?
Estrogen can cause a heart attack.
A patient is admitted for a fractured hip. A nurse is reviewing the medical history with the patient on admission. Which conditions does the nurse tell the patient place this patient at risk for osteoporosis?
Kidney disease
Hyperthyroidism
Diabetes mellitus
Rheumatoid arthritis
A patient is at risk of bone fracture from osteoporosis. Which high-impact activity should the nurse inform the patient to avoid because it may cause bone fracture?
Running
Peak bone mass occurs before which age?
20
A school-age child with Paget's disease reports pain and swelling around the right knee after an injury 2 weeks ago that has become increasingly worse. What does the nurse suspect these findings are indicative of?
Osteosarcoma
A patient is diagnosed with osteomalacia. Which clinical manifestation does the nurse determine correlates with this diagnosis?
Weakness in the pelvic girdle
The nurse is reviewing the diagnostic tests on a patient that is being treated for Paget's disease and observes a tumor-like overgrowth in the bone. Which complication of the disease does the nurse suspect?
Osteosarcoma
The nurse is developing a health promotion program regarding osteoporosis. Which population of postmenopausal women should the nurse target that are at risk for osteoporosis?
White American
A patient with osteoporosis has a history of multiple fractures. Which prescription should the nurse question the health care provider about that is contraindicated in this patient?
Corticosteroids
A patient who is being treated for osteoporosis receives a prescription for a bisphosphonate drug. What instruction should the nurse give to the patient regarding its administration and aftereffects?
You should drink a full glass of water with the medicine.
A patient is prescribed the nasal form of calcitonin in order to treat osteoporosis. What side effect of the medication should the nurse inform the patient is a possibility?
Nasal dryness
A patient is determined to have a vitamin D deficiency when the laboratory work is reviewed and supplementation is discussed. What should the nurse inform the patient might occur if the deficiency is uncorrected?
Bone softening
the nurse is planning the care of an older adult patient being treated for Paget's disease. What nursing actions should be included in the plan of care?
Encourage physical therapy.
Encourage the patient to wear a corset brace.
a patient with Paget's disease is encouraged to wear a brace to relieve back pain and provide support when in the upright position. What should the nurse instruct this patient to do?
Attend physical therapy.
Avoid falls and subsequent fractures.
Examine the skin for damage due to friction.