Clinical Manifestations Diagnosis/Evaluation Therapy Nursing Care
100
What is osteoporosis
Characterized by low bone mass with microarchitectural disruption and skeletal fragility
100
What is bone mineral density
Gold standard to diagnose osteoporosis
100
What is vitamin D
Most people in New England are deficient in this fat soluble vitamin
100
What is weight bearing exercise
Nurse should recommend perform 30 minutes of this activity 3-5 times per week
200
What is back pain
The most common site of the pain of osteoporosis
200
What is DXA scan
most commonly used technology for determining bone density
200
What is calcium
mineral that a postmenopausal women should take everyday or increase her dietary intake of
200
What is dietary teaching
nurse instructs client to eat calcium rich foods
300
What is bone mineral density
peaks between ages 18-30 yrs
300
What is T score
it is the standard deviation difference between a patients bone mineral density and that of a young adult reference population
300
What are bisphosphonates
treatment for postmenopausal women with a history of hip or vertebral fracture with osteoporosis
300
What is bone loss
excessive caffeine, alcohol, smoking, and carbonated beverages cause this
400
what are expected findings
2 inch loss in height, BMI of 21, kyphotic curve in thoracic spine, and lactose intolerance
400
What is z score
comparison of the patients bone mineral density to an age matched population
400
What is selective estrogen receptor modulator
class that increases bone mineral density and reduces the risk of fracture in postmenopausal women
400
What is supine position
nurse places the client in this position following vertebroplasty of the thoracic spine
500
What are risk factors
55 year old post menopausal client takes prednisone for asthma, takes phenytoin for seizures, has a sedentary lifestyle, and smoked for 10 years
500
What is osteopenia
the term for a T score that is 1-2.5 SD below the young adult mean
500
What is Calcitonin
hormone secreted by the thyroid gland that inhibits osteoclast activity and stimulates calcium uptake by the bones
500
What is discharge teaching
client with osteoporosis prepares to go home nurse instructs him/her to remove throw rugs in walkways, remove clutter from the environment, walk with cautions on icy surfaces, and maintain lighting of doorway areas






Osteoporosis

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