Unit 12 - Metaboslim (Osteoporosis)

Question 1

metabolic bone disorder

Answer 1

osteoporosis

Question 2

loss of bone mass/demineralization

Answer 2

osteoporosis

Question 3

increased bone fragility

Answer 3

osteoporosis

Question 4

increased risk of fractures

Answer 4

osteoporosis

Question 5

reduced bone mass is caused by imbalance in the processes that influence _____ _____ and _____

Answer 5

bone growth & maintenance

Question 6

osteoporosis is most often associated with _____ and _____ _____ _____

Answer 6

aging & inadequate calcium intake

Question 7

osteoporosis:

affects _____, _____

Answer 7

diaphysis, metaphysis

Question 8

osteoporosis

_____ lost from cancellous bone

Answer 8

trabeculae

Question 9

_____ in _____ women and _____ in _____ men will have an osteoporosis-related fracture

Answer 9

1 in 2 women

1 in 4 men

Question 10

Older people absorb _____ less effeciently

Answer 10

Calcium

Question 11

Peak adult bone mass is achieved between ages of _____-_____ years

Answer 11

18-25

Question 12

Long-time use of _____ is a risk factor for developing osteoporosis. Obesity (is, is not) a risk factor for osteoporosis but predisposes the woman to _____.

Answer 12

corticosteroids
is not
osteoarthritis

Question 13

A client with osteoporosis will often present with _____ _____ pain as well as a decrease in _____.

Answer 13

low back

height

Question 14

4 Diagnostic Tests for osteoporosis:

• _____-_____ _____ absorptiometry (DEXA)
• Ultrasound of _____ to measure bone density
• Alkaline _____
• Serum bone _____ _____

Answer 14

• Dual-energy x-ray absorptiometry (DEXA)
• Ultrasound of heel to measure bone density
• Alkaline phosphatase
• Serum bone Gla protein

Question 15

Dual-energy x-ray absorptiometry (DEXA)

• Measures bone density in _____ _____ or _____
• Considered _____ accurate

Answer 15

• Measures bone density in lumbar spine of hip

- Considered highly accurate

Question 16

Is the Ultrasound of heel to measure bone density as accurate as DEXA

Answer 16

no

Question 17

One causative factor of osteoporosis is lack of weight-bearing activity. Weight bearing helps to move _____ back into the bone, thereby strengthening them. A standard intervention for those attempting to prevent or reverse osteoporosis is beginning an exercise plan that includes weight-bearing activities.

Answer 17

calcium

Question 18

Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity.. Assisted range of motion exercises are not weight-bearing and (do, do not) help delay or reverse osteoporosis.

Answer 18

do not

Question 19

Osteoporosis Dietary management:

- choose foods high in _____ & _____ _____

Answer 19

• choose foods high in calcium & vitamin D

Question 20

A diet that includes _____ products will have calcium and vitamin D, which are nutrients needed to prevent the onset of osteoporosis

Answer 20

dairy

Question 21

_____ milk is a good source of calcium and vitamin D, which prevents or slows osteoporosis.

Answer 21

Skim

Question 22

For those with milk/ lactose allergies and issues it would be a priority to focus on diet and to identify alternate foods high in _____ & _____ _____

Answer 22

Calcium and vit D

Question 23

A diet rich in _____ and _____ _____ is high in purine, which may predispose the client to gout although good for lean protien

Answer 23

shellfish & organ meats

Question 24

A diet rich in shellfish and organ meats is high in _____, which may predispose the client to _____ although good for lean protien .

Answer 24

purine

gout

Question 25

2 main nursing diagnoses for osteoporosis

Answer 25

• risk for injury

- acute pain

Question 26

Keeping the bed in the _____ position will reduce the incidence of injury should the client attempt to get up.

Answer 26

lowest

Question 27

The use of restraints could increase the incidence of injury and (should, should not) be used.

Answer 27

should not

Question 28

T/F: A nightlight is useful but is not the best means to prevent injury.

Answer 28

T