![]() Advise the client that an ultrasound or CT scan may need to be prescribed, rather than the scheduled DEXA. Reassure the client that there are no dyes or products containing iodine used during a DEXA. There is no sedation involved with the DEXA, so the client can safely drive home following the test. Instruct the client that it may be desirable to have a family member available following the test to drive her home. Osteoporosis management does not require emergency treatment. Schedule the client for the immediate appointment so that emergency treatment can be started, based on the test results. Even though the client has recently experienced a fracture this is not an emergency situation, so the client may prefer to wait for the appointment in 3 weeks. Since no special preparation is needed prior to the test, the client may choose to have the test completed immediately. The nurse should promote client autonomy by offering the client safe, reasonable choices. Provide the client with the available choices of appointment times and allow the client to select the desired appointment. It is not necessary to be NPO prior to a DEXA study. Advise the client that an immediate appointment will not allow adequate time to maintain NPO status before the test. Physical activity, along with adequate nutrient intake, is essential to strengthen bone density. Building maximal bone mass as a child and adolescent is very important to reduce the risk of osteoporosis as an adult. Participating in sports activities often helps the bones become stronger and denser. ![]() However, osteoporosis is not primarily inherited and can be affected by activity. A positive family history is considered a risk factor for osteoporosis. Brittle bones are primarily inherited and are not often affected by your level of activity. Multiple fractures do not increase the risk for osteoporosis. Being active in sports only increases the risk for osteoporosis if your bones break a lot. Physical activity helps build bone mass, strengthening the bones. Excessive wear and tear during the growth years can weaken your bones as an adult. High alcohol intake Consuming greater than 3 alcoholic beverages daily is a risk factor for osteoporosis.Linton, A., Matteson, M. Parent with history of osteoporosis Parental history of osteoporosis, especially mother associated with increased risk for osteoporosis.Linton, A., Matteson, M. Low body weight, thin build A low body weight, thin build is a nonmodifiable risk factor for osteoporosis.Linton, A., Matteson, M. Osteoporosis is not associated with the timing or number of pregnancies. Gave birth to her first and only child at age 30. Stressful events, such as the death of a spouse, do not increase the risk for osteoporosis. Low body weight, thin build Parent with history of osteoporosis High alcohol intake Recent death of her husband of 30 years.
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