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1. Question
The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder?
Correct
Answer: Option 4 is the correct answer.
Rationale: Risk factors for osteoporosis include female gender, being postmenopausal, advanced age, a low-calcium diet, excessive alcohol intake, being sedentary, and smoking cigarettes. Long-term use of corticosteroids, anticonvulsants, and/or furosemide also increases the risk. Test-Taking Strategy: Focus on the subject, risk factors for osteoporosis. The 25-year-old woman who runs (exercises using the long bones) has negligible risk. The 36-year-old man with asthma is eliminated next because his only risk factor might belong-term corticosteroid use (if prescribed) to treat the asthma. Of the remaining options, the 65-year-old woman has higher risk (age, gender, postmenopausal, sedentary, smoking) than the 70-year-old man (age, alcohol consumption).
Incorrect
Answer: Option 4 is the correct answer.
Rationale: Risk factors for osteoporosis include female gender, being postmenopausal, advanced age, a low-calcium diet, excessive alcohol intake, being sedentary, and smoking cigarettes. Long-term use of corticosteroids, anticonvulsants, and/or furosemide also increases the risk. Test-Taking Strategy: Focus on the subject, risk factors for osteoporosis. The 25-year-old woman who runs (exercises using the long bones) has negligible risk. The 36-year-old man with asthma is eliminated next because his only risk factor might belong-term corticosteroid use (if prescribed) to treat the asthma. Of the remaining options, the 65-year-old woman has higher risk (age, gender, postmenopausal, sedentary, smoking) than the 70-year-old man (age, alcohol consumption).
Osteoporosis
In osteoporosis, bones lose calcium and phosphate salts and become
abnormally vulnerable to fracture. Osteoporosis may be primary or secondary to
an underlying disease.
Primarily postmenopausal Primary osteoporosis most commonly develops in postmenopaus al women, although men may also develop osteoporosis. It’s called postmenopausal osteoporosis if it occurs in women ages 50 to 75 and senile osteoporosis if it occurs between ages 70 and 85. Risk factors include inadequate intake or absorption of calcium, estrogen deficiency, and sedentary lifestyle.
Osteoporosis primarily affects the weight-bearing vertebrae,
ribs, femurs, and wrist bones. Vertebral and wrist fractures are common.
What causes it:
The cause of primary osteoporosis remains unknown. Secondary
osteoporosis may result from:
• prolonged therapy with steroids, aluminum-containing
antacids, heparin, anticonvulsants, or thyroid preparations
• total immobility or disuse of a bone (as with hemiplegia).
Osteoporosis is also linked to alcohol abuse, malnutrition, malabsorption, scurvy,
lactose intolerance, hyperthyroidism, osteogenesis imperfecta, and Sudeck’s
atrophy (localized to hands and feet, with recurring attacks).