Unit 12 - Metaboslim (Osteoporosis) Flashcards

1
Q

metabolic bone disorder

A

osteoporosis

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2
Q

loss of bone mass/demineralization

A

osteoporosis

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3
Q

increased bone fragility

A

osteoporosis

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4
Q

increased risk of fractures

A

osteoporosis

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5
Q

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

A

bone growth & maintenance

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6
Q

osteoporosis is most often associated with _____ and _____ _____ _____

A

aging & inadequate calcium intake

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7
Q

osteoporosis:

affects _____, _____

A

diaphysis, metaphysis

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8
Q

osteoporosis

_____ lost from cancellous bone

A

trabeculae

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9
Q

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

A

1 in 2 women

1 in 4 men

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10
Q

Older people absorb _____ less effeciently

A

Calcium

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11
Q

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

A

18-25

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12
Q

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 _____.

A

corticosteroids
is not
osteoarthritis

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13
Q

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

A

low back

height

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14
Q

4 Diagnostic Tests for osteoporosis:

  • _____-_____ _____ absorptiometry (DEXA)
  • Ultrasound of _____ to measure bone density
  • Alkaline _____
  • Serum bone _____ _____
A
  • Dual-energy x-ray absorptiometry (DEXA)
  • Ultrasound of heel to measure bone density
  • Alkaline phosphatase
  • Serum bone Gla protein
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15
Q

Dual-energy x-ray absorptiometry (DEXA)

  • Measures bone density in _____ _____ or _____
  • Considered _____ accurate
A
  • Measures bone density in lumbar spine of hip

- Considered highly accurate

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16
Q

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

A

no

17
Q

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.

A

calcium

18
Q

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.

A

do not

19
Q

Osteoporosis Dietary management:

- choose foods high in _____ & _____ _____

A
  • choose foods high in calcium & vitamin D
20
Q

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

A

dairy

21
Q

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

A

Skim

22
Q

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

A

Calcium and vit D

23
Q

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

A

shellfish & organ meats

24
Q

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

A

purine

gout

25
Q

2 main nursing diagnoses for osteoporosis

A
  • risk for injury

- acute pain

26
Q

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

A

lowest

27
Q

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

A

should not

28
Q

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

A

T