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Exemplar 12.5: Osteoporosis

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I didn't like any of the other quizzes I saw, so I made one specifically for my class, right out of my textbook. I tried with the NCLEX style questions, but they probably aren't very good.
Olivia McRitchie
Quiz by Olivia McRitchie, updated more than 1 year ago
Olivia McRitchie
Created by Olivia McRitchie over 6 years ago
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Resource summary

Question 1

Question
Which of the following foods would you suggest to a female client who is consistently low in vitamin D?
Answer
  • Egg yolks
  • Milk products
  • Beef
  • Broccoli

Question 2

Question
Which of the following foods/drinks would you suggest to a female client who is vegan and deficient in calcium?
Answer
  • Fortified orange juice
  • Oranges
  • Fortified Milk
  • Most fish

Question 3

Question
Select all that apply (sorry guys): Which of the following people are at increased risk for osteoporosis?
Answer
  • A male with low testosterone
  • A person who drinks a lot of coffee.
  • A person who is taking sertraline.
  • A person who has had a gastric bypass surgery
  • A person who is has been on phenobarbital for several years.

Question 4

Question
Selct all that apply: A 55 year old female patient comes in for a normal check up. She explains that her mother had osteoporosis and it caused her a great deal of pain in her later years. She asks you how to avoid the same fate as her mother. Which of the following would you advise her to do?
Answer
  • Increase protein consumption
  • Limit her consumption of Faygo
  • Take vitamin D supplements
  • Take short hikes outside (5-30 minutes or so) with her husband a couple times a week

Question 5

Question
Which of the following is NOT a sign of osteoporosis?
Answer
  • History of fractures, especially in the wrist, femur, or thoracic spine
  • Kyphosis of the dorsal spine
  • Reduced height
  • Back pain, both at rest and when moving

Question 6

Question
True or false: a duel X-ray absorptiometry (DXA) scan is done on the hip or the spine to screen for early changes in bone density.
Answer
  • True
  • False

Question 7

Question
True or false: Swimming and water aerobic exercises are beneficial for maintaining bone density
Answer
  • True
  • False

Question 8

Question
Which of the following indicates that your post menopausal female patient needs further instruction about preventing the development of osteoporosis?
Answer
  • "I will get my bone density checked every other year."
  • "I will cut back on the whisky and cigarettes."
  • "I will maintain a calcium intake of 1,000-1,500 mg daily."
  • "I will take my calcium supplement once a day, with breakfast."

Question 9

Question
Select all that apply: Which of the following are appropriate interventions when caring for a client who already has osteoporosis?
Answer
  • Maintain the bed in a low position.
  • Talk to the client about removing throw rugs and clearing walkways at home.
  • Collaborate with a physical therapist to design an exercise plan.
  • Encourage the family to discuss the client's placement in a nursing home.
  • Utilize restraints for patients who are also at risk for wandering.
  • Suggest that the client use NSAIDs for pain relief (after making sure they aren't contraindicated).

Question 10

Question
Calcitonin human and teriparatide can only be given via which method of administration?
Answer
  • Subcutaneously
  • Intramuscularly
  • Orally
  • Rectally
  • Intravenously

Question 11

Question
The most common drug class for treating osteoporosis are biphosphonates.
Answer
  • True
  • False

Question 12

Question
Select all that apply: Calcium supplementation is contraindicated in which of the following patients?
Answer
  • Patients with a history of seizures.
  • Patients with diabetes.
  • Patients with ventricular fibrillation.
  • Patients with renal calculi.
  • Patients with metastatic bone cancer.

Question 13

Question
Select all that apply: Which of the following are common side effects of biposphonates?
Answer
  • Nausea and vomiting
  • Orthostatic hypotension
  • Hot flashes
  • Abdominal pain
  • Esophageal irritation

Question 14

Question
Which of the following statements proves that the client understands the teaching about her medication, Fosamax (which is a biphosphonate)?
Answer
  • "This drug should be taken after breakfast."
  • "This drug should be taken in divided doses."
  • "This drug should be taken on an empty stomach."
  • "This drug might make me dizzy."
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