A 64-year-old woman comes to her family physician's office with complaints of lower back pain for the past three months. Her bone mass density (BMD) T-score is -2.5. The physician prescribes a new medication that has agonistic action at estrogen receptor in the bone and antagonist action at estrogen receptor in the breast and uterine tissues. Which of the following is a potential adverse effect of this medication? Answers A - E A Acneiform rash B Breast cancer C Cardiac arrhythmia D Endometrial cancer E Hot flashes O
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- #21.1. The nurse is conducting health screening for osteoporosis. Which client is at greatest risk for developing this disorder? Question 21 options: a) A sedentary 65-year-old woman who smokes b) A 70-year-old man who consumes excess alcohol c) A 25-year-old woman who runs d) A 36-year-old man who has asthmaBone resorption is a complication of Cushing’s disease. Which of the following interventions should the nurse recommend to help the client prevent this complication? Question 92 options: a) Increase the amount of potassium in the diet b) Maintain a regular program of weight-bearing exercise c) Limit dietary vitamin D intake d) Perform isometric exercisesA middle-aged client with osteoarthritis and a BMI of 29 asks the nurse about dietary means to keep the arthritis from getting worse. Which of the following should the nurse suggest to the client? Question 2 options: a) Take a calcium supplements twice daily b) Increase consumption of vitamin D-fortified food c) Increase consumption of foods rich in omega-6 fats d) Meet with a dietitian to develop a weight loss plan
- 2. A 15-year-old child is admitted to the pediatric oncology unit for newly-diagnosed osteosarcoma. The child will undergo chemotherapy and then surgical resection. What types of surgical interventions are used for osteosarcoma? What impact does amputation have on the psychosocial development of an adolescent? What actions can the nurse take to lessen this impact on the child’s development?This drug binds sclerostin, a regulatory factor in bone metabolism. Sclerostin inhibition increases bone formation and, to a lesser extent, decreases bone resorption. It is indicated for osteoporosis treatment in postmenopausal women at high risk for fracture, defined as a history of osteoporotic fracture or multiple risk factors for fracture. It is also indicated for patients who have failed or are intolerant to other available osteoporosis therapy. What is the name of the drugJanet Fuller is a 65-year-old woman who was diagnosed with osteoporosis 2 years ago during her yearly medical examination with her family physician. She was referred to the osteoporosis clinic at a major teaching hospital. During appointments at the clinic, her diagnosis was confirmed. She has been given medication and has been counseled on changes she should make to her life in order to avoid fractures. Mrs. Fuller is married and has two adult children who live in the same city. She and her husband live in an apartment in the city and have a country home a 3-hour drive away. Mrs. Fuller worked as a librarian but retired at 50 years of age to accompany her husband on business trips. When not traveling, they spend 4 days a week in the city and spend 3 days in the country. Mrs. Fuller manages both homes herself, although she has found that she often has back pain after doing household activities. Mrs. Fuller volunteers at her local hospital, delivers meals-on-wheels once a week, and is…
- The nurse instructs the client with osteoporosis that food products high in calcium include: Question 44 options: a) Apples b) Meat c) Kale d) RiceAn older patient has severe osteoporosis and a collapsed vertebra. She is in constant pain and receives relief only from taking a narcotic painkiller four times a day, which is addictive. For your initial post, please answer the following 2 questions: Should the physician supply enough medication to provide relief or only enough pills for the patient to take when she is experiencing pain that she absolutely cannot bear? Think this through and formulate questions that might help you decide what stance to take. Which medical and legal requirements will you need to fulfill as a medical assistant or medical biller?Discuss 3 types of Diabetes-minimum-3 types of diabetes conditions and 3 types of Arthritis-conditions (including Gouty Arthritis-conditions) For each discuss its History, Causes, Types, Signs, and Symptoms, suggested treatment options and remedies.
- An older patient has severe osteoporosis and a collapse vertebra. She is in constant pain and receives relief only from taking a narcotic painkiller, four times a day, which is addictive. Answer the following a. Should the physician supply enough medication to provide relief or only enough pills for the patient to take when she is experiencing pain that she absolutely cannot bear? B. Also, what medical and legal requirements will you need to fulfill as a omedical assistant or medical biller?7. The nurse is conducting health screening for osteoporosis. Which client is at greatest risk for developing this disorder? Don't copy Question 21 options:a) A sedentary 65-year-old woman who smokes b) A 70-year-old man who consumes excess alcohol c) A 25-year-old woman who runs d) A 36-year-old man who has asthmaCase study Maria Russo is a 76 year old woman who sustained an Intertrochanteric fracture of the Right femur after she fell when watering her garden. She sustained a small laceration to her Right Shoulder when she fell. Maria could not remember what happened before she fell. Maria's medical history includes osteoporosis, prediabetes and depression. She has recently been experiencing some orthostatic hypotension. She has no significant surgical history. Maria's current medications on admission are Aspirin 75mgs daily, Citalopram 20mg and Alendronate Sodium 10mg orally daily. Maria lives alone, her husband died 6 months ago. Maria's adult children live interstate. Pre-operatively Maria shared her concerns about her pet dog, Bonnie, and who will care for her while she is in hospital. Maria has undergone an Open Reduction and Internal fixation (ORIF) of the fractured Right Neck of Femur under Spinal and General Anaesthesia. Maria was nauseated in the Post anaesthetic care unit (PACU)…