A nurse is providing education to a patient diagnosed with osteoporosis.
Which statement by the nurse best reflects appropriate guidance regarding diet and nutrition?

"You should avoid calcium-rich foods to prevent further bone loss.”

"It's important to maintain a diet low in vitamin D to manage your condition.”

"You should focus on a balanced diet rich in calcium and vitamin D.”

"A diet high in sugar and processed foods is ideal for managing osteoporosis.”

Answer and Explanation

The Correct Answer is C

"You should avoid calcium-rich foods to prevent further bone loss." This statement is incorrect and not appropriate guidance for a patient with osteoporosis.

Calcium is essential for maintaining bone health, and avoiding calcium-rich foods can exacerbate bone loss.

Osteoporosis patients need an adequate intake of calcium to support their bone density.

Choice B rationale:

"It's important to maintain a diet low in vitamin D to manage your condition." This statement is also incorrect.

Vitamin D is crucial for calcium absorption and bone health.

Patients with osteoporosis should not maintain a low vitamin D diet but should ensure they have sufficient vitamin D intake, either through diet, supplements, or sunlight exposure.

Choice C rationale:

"You should focus on a balanced diet rich in calcium and vitamin D." This statement is the correct answer.

Osteoporosis patients should indeed focus on a balanced diet rich in both calcium and vitamin D.

Calcium is needed for bone strength, and vitamin D helps the body absorb calcium effectively.

A balanced diet with these nutrients is essential for managing osteoporosis.

Choice D rationale:

"A diet high in sugar and processed foods is ideal for managing osteoporosis." This statement is entirely incorrect.

A diet high in sugar and processed foods can be detrimental to bone health and overall well-being.

Such a diet can lead to inflammation and negatively impact bone density.

It is not advisable for managing osteoporosis.

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Correct Answer is C

Explanation

Choice C rationale:

Dual-energy X-ray absorptiometry (DXA) is the diagnostic test of choice for assessing bone mineral density and diagnosing osteoporosis.

DXA scans provide precise measurements of bone density, typically at the hip and spine, and are used to evaluate the risk of fractures and monitor treatment efficacy.

Choice A rationale:

Magnetic resonance imaging (MRI) is not the primary diagnostic test for osteoporosis.

While MRI can provide detailed images of soft tissues, it is not as effective as DXA in measuring bone density, which is crucial in osteoporosis diagnosis and management.

Choice B rationale:

Computed tomography (CT) scans are not typically used as the first-line diagnostic test for osteoporosis.

CT scans provide detailed images of bones and tissues but involve a higher radiation dose than DXA scans.

DXA remains the preferred choice for assessing bone mineral density.

Choice D rationale:

Bone biopsy is not a standard diagnostic test for osteoporosis.

Bone biopsies are invasive procedures reserved for specific situations, such as diagnosing other bone disorders or investigating unusual bone lesions.

DXA is a non-invasive and more commonly used method for assessing bone density in osteoporosis.

Questions

A. "Osteoporosis occurs when my body makes too much bone, causing it to become dense and heavy.” B. "The imbalance between bone resorption and formation results in weak and fragile bones.” C. "Osteoporosis happens because my body doesn't produce enough estrogen after menopause.” D. "Increased vitamin D levels lead to enhanced bone resorption and formation.”

Correct Answer is B

Explanation

Choice A rationale:

The client's statement, "Osteoporosis occurs when my body makes too much bone, causing it to become dense and heavy," is incorrect.

Osteoporosis is characterized by a decrease in bone density, leading to weak and fragile bones, not an increase in bone production.

Choice B rationale:

The statement, "The imbalance between bone resorption and formation results in weak and fragile bones," correctly explains the pathophysiology of osteoporosis.

Osteoporosis occurs when there is an imbalance in bone remodeling, with increased bone resorption (breakdown) compared to bone formation.

Choice C rationale:

The client's statement, "Osteoporosis happens because my body doesn't produce enough estrogen after menopause," is partially correct.

Estrogen deficiency after menopause is one of the factors contributing to bone loss in women, but it's not the sole cause of osteoporosis.

Choice D rationale:

The statement, "Increased vitamin D levels lead to enhanced bone resorption and formation," is incorrect.

Adequate vitamin D is essential for calcium absorption and bone health, but excessive vitamin D levels do not lead to enhanced bone resorption and formation.

Instead, they can have adverse effects on other body systems.

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A nurse is providing education to a patient diagnosed with osteoporosis.Which statement by the nurse best reflects appropriate guidance regarding diet and nutrition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess the bone mineral density of a client suspected to have osteoporosis.Which diagnostic test should the nurse anticipate using for this assessment?

Correct Answer is C

Explanation

A client recently diagnosed with osteoporosis expresses concern about the pathophysiology of the condition.Which statement by the client indicates a clear understanding of osteoporosis?

Correct Answer is B

Explanation

A nurse is assessing a patient's risk factors for osteoporosis.Select all the modifiable risk factors that the nurse should address during the assessment.

A client with osteoporosis is prescribed medication to manage the condition.What is the nurse's primary responsibility when administering these medications?

A nurse is discussing prevention strategies for osteoporosis with a group of middle-aged adults.Which strategy should the nurse emphasize as effective in reducing the risk of osteoporosis?

A nurse is providing education to a patient diagnosed with osteoporosis.Which statement by the nurse best reflects appropriate guidance regarding diet and nutrition?

A nurse is providing education to a group of postmenopausal women about osteoporosis risk factors. Which statement made by one of the attendees indicates a need for further teaching?

A nurse is assessing a patient with osteoporosis.Which clinical findings should the nurse expect? (Select all that apply).

A client with osteoporosis is prescribed medication to prevent further bone loss.What should the nurse include in the client's teaching regarding medications?

(Select all that apply): A nurse is educating a group of postmenopausal women about strategies to prevent osteoporosis. Which lifestyle habits should the nurse recommend to this group? Select all that apply.

A nurse is providing education to a patient diagnosed with osteoporosis.
Which statement by the nurse best reflects appropriate guidance regarding diet and nutrition?