A client recently diagnosed with osteoporosis is prescribed bisphosphonates.
The client asks the nurse, "How do these medications work?" Which response by the nurse is accurate?

"Bisphosphonates increase calcium absorption in your intestines.”

"Bisphosphonates inhibit bone resorption and prevent further bone loss.”

"Bisphosphonates stimulate bone formation by promoting collagen production.”

"Bisphosphonates reduce pain associated with osteoporosis.”

Answer and Explanation

The Correct Answer is B

This response by the nurse is accurate.

Bisphosphonates are a class of medications commonly prescribed to treat osteoporosis.

They work by inhibiting bone resorption, which means they reduce the activity of cells that break down bone tissue (osteoclasts).

By doing so, bisphosphonates help prevent further bone loss and can increase bone density over time.

This mechanism of action is essential in managing osteoporosis and reducing the risk of fractures.

Choice A rationale:

This statement is not accurate.

Bisphosphonates do not increase calcium absorption in the intestines.

Instead, they primarily focus on regulating bone turnover and preventing bone resorption.

Choice C rationale:

This statement is also not accurate.

Bisphosphonates do not stimulate bone formation or promote collagen production.

Their primary role is to reduce bone resorption.

Choice D rationale:

This statement is incorrect.

Bisphosphonates are not primarily used to reduce pain associated with osteoporosis.

While they can indirectly reduce pain by preventing fractures, their main goal is to maintain bone density and reduce the risk of fractures.

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Correct Answer is D

Explanation

Choice A rationale:

The attendee stating that having a family history of osteoporosis puts her at higher risk is correct.

Family history is indeed a significant risk factor for osteoporosis as genetics plays a role in bone density and susceptibility to the condition.

Choice B rationale:

The attendee mentioning the importance of getting enough calcium to keep her bones strong is correct.

Adequate calcium intake is essential for maintaining bone health and preventing osteoporosis.

Choice C rationale:

The attendee stating that physical activity and weight-bearing exercises help prevent osteoporosis is correct.

Weight-bearing exercises can strengthen bones and reduce the risk of osteoporosis.

Choice D rationale:

The statement, "I don't need to worry about osteoporosis since I'm a man," indicates a need for further teaching.

While osteoporosis is more common in women, men can also develop the condition, and it's important for them to be aware of the risk factors and preventive measures.

A. Magnetic resonance imaging (MRI). B. Computed tomography (CT) scan. C. Dual-energy X-ray absorptiometry (DXA). D. Bone biopsy.

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

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A client recently diagnosed with osteoporosis is prescribed bisphosphonates. The client asks the nurse, "How do these medications work?" Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

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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.

(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 client with osteoporosis asks the nurse for advice on reducing the risk of fractures.Which response by the nurse is most appropriate?

A nurse is providing emotional support to a patient with osteoporosis.Which statement by the nurse is appropriate in assisting with pain management?

A client recently diagnosed with osteoporosis is prescribed bisphosphonates.
The client asks the nurse, "How do these medications work?" Which response by the nurse is accurate?