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osteoporosis

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Which of the following are risk factors for osteoporosis?(check all that apply)

a)

white/asian

b)

havina a small body frame

c)

eating prednisolone like candy for more than 3 months

d)

poor diet

e)

Having had a hysterectomies'

2.

Which of the following is NOT a risk factor for osteoporosis?

a)

Ageing

b)

Early menopause

c)

smoking

d)

regular exercise

3.

Pregnancy and lactation is known to:

a)

Decrease calcium requirements

b)

Result in bone mineral loss from the skeleton

c)

Decrease the rate of dietary calcium absorption

d)

Affect bone mineral content later in life

4.

A nurse is conducting health screening for osteoporosis, which of the following clients is at greatest risk of developing this disorder

a)

A 25-year old woman who jogs

b)

A 36-year old man who as asthma

c)

A 70-year old man who consumes excess alcohol

d)

A sedentary 65-year old woman who smokes cigarettes

5.

A community health nurse is providing a teaching session on osteoporosis to women living in the community, the nurse informs these community residents that which of the following is a risk factor for this disorder

a)

A larger skeletal frame

b)

Low thyroid hormone levels.

c)

A diet low in Vitamin D

d)

A high dietary intake of calcium.

6.

An older female client is diagnosed with osteoporosis, the nurse teaches the client about self-care measures because the client is most at risk for which of the following as a result of this disorder of the bones

a)

Nutritional deficiencies.

b)

Loss of appetite.

c)

Fractures.

d)

Diarrhea.

7.

The immobile client is at risk for disuse osteoporosis, the nurse understands that which of following substances plays an important role in the bone remodeling process

a)

Vitamin C.

b)

Vitamin A.

c)

Calcitonin.

d)

Thyroid hormone.

8.

Which of the following test is considered as gold standard to assess osteoporosis

a)

a)

CT Scan.

b)

X-ray.

c)

Gallium study.

d)

Bone density test.

9.

Which treatment for osteoporosis is considered as mainstay of therapy for perimenopausal women

a)

Weight bearing exercises.

b)

Smoking cessation.

c)

High phosphate diet.

d)

Hormone replacement therapy.

10.

The nurse is assessing a postmenopausal client. Which question should the nurse ask to assess for signs of osteoporosis?

a)

"Have you experienced any palpitations?"

b)

"Are you having any low back pain?"

c)

"Are you having problems with swelling in your feet?"

d)

"Is constipation a problem for you?"

11.

A nurse is conducting a health history on an older adult client. Which assessment finding indicates the client is at risk for osteoporosis?

a)

Having a body mass index (BMI) that indicates obesity

b)

Using glucocorticoids for 10 years because of a chronic lung disorder

c)

Eating three to five servings of shrimp and liver per week

d)

Drinking three glasses of skim milk daily

12.

A client who is at risk for developing osteoporosis asks what can be done to decrease the risk of actually developing the disease. Which intervention would be the most beneficial for this client?

a)

Decreasing the amount of calcium in the client's diet

b)

Providing the client with assisted range of motion exercising twice daily

c)

Increasing regular weight-bearing activities

d)

Protecting the client's bones with strict bedrest

13.

An adult client who resides in a long-term care facility is diagnosed with osteoporosis. The client has a history of falls and dementia. Which nursing intervention will best aid in meeting an outcome goal of injury prevention for this client?

Answer: B Explanation: A) Keeping the bed in the lowest position will reduce the incidence of injury should the client attempt to get up. The use of restraints could increase the incidence of injury. Using the furniture as an obstacle could cause injury if the client is able to get up. In a long-term care facility, a nightlight should be provided in the room so the client can see to use the restroom.

6 / 14

a)

Using furniture as obstacles to keep the client in the bed

b)

Keeping the bed in the lowest position

c)

Keeping a nightlight on in the hallway

d)

The use of wrist restraints

14.

he nurse is providing teaching to a young adult who is at risk for early-onset osteoporosis. Which intervention should the nurse suggest?

a)

The client should stop all physical activity.

b)

The client should reduce the intake of dairy in the diet.

c)

The client should increase intake of calcium and vitamin D.

d)

The client should start estrogen replacement therapy.

15.

A postmenopausal adult client is concerned about the development of osteoporosis and wants to begin preventative activities. Which statement by the nurse is appropriate?

a)

"You should first determine if you are at risk for the development of osteoporosis."

b)

"After menopause, the decline is too rapid to begin preventative interventions."

c)

"Weight-bearing exercise and calcium supplements are helpful in the prevention of osteoporosis."

d)

"Hormone replacement therapy should be initiated as soon as possible."