Ignatavicius: Medical-Surgical Nursing, 9th Edition Chapter 50: Care
Question Answered step-by-step Ignatavicius: Medical-Surgical Nursing, 9th Edition Chapter 50: Careof Patients with Musculoskeletal Problems Case Study The Patient with Osteoporosis A 67-year-old postmenopausal woman has come to the clinic for moderate to severe backache; pain interferes with sleep. She works 4 days/week as a bank teller. Ordinarily, she has an active social life and enjoys golf and going out with her friends, but lately she has been canceling social activities, because she fears her back will give out and cause a fall. Pain is rated 7/10. Nutritionally, she eats two to three meals a day, but does not like milk and rarely drinks it. She admits to drinking alcohol three to four times a week. In addition, she reports recently wearing mostly slip-on shoes to avoid bending (to tie shoes). Aside from playing golf, her daily routine does not involve much exercise. Medical history includes hypertension; the patient reports taking lisinopril 10 mg orally daily. She has no known drug allergies. Vital signs are temperature 37.8° C (100° F); heart rate 82/min; respirations 22/min; and blood pressure 140/87 mm Hg. The patient needs diagnostic tests of her spine and pain management. 1. Identify six questions that the nurse would ask the patient while performing the assessment.2. The patient says that she does not like milk and rarely drinks it. How could she increase her calcium intake?3. The health care provider suspects osteoporosis. What test is most likely to be ordered, and what should the nurse tell the patient about the test?4. Fill in the typical diagnostic test and laboratory results for patients who have osteoporosis. Diagnostic Test Typical Result Radiographic findings Calcium level Phosphate level Parathyroid hormone Alkaline phosphatase5. The patient is given a prescription for alendronate (Fosamax). What should the nurse tell her before she begins therapy with this drug?6. Determine appropriate measures to relieve this patient’s back pain. Health Science Science Nursing NUR 3219 Share QuestionEmailCopy link Comments (0)
