Practice Question
A 66-year-old client is on long-term oral glucocorticoid therapy to treat chronic obstructive pulmonary disease. When providing teaching about this medication, the nurse will inform this client that there is a particularly high risk for what to occur?
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Correct Answer:
spontaneous fractures
Rationale:
🔶Long-term glucocorticoid therapy causes calcium resorption from bones, leading to osteoporosis and increased fracture risk.
🔶These drugs decrease osteoblast activity and promote osteoclast activity, resulting in bone weakening over time.
🔶Older adults, like the 66-year-old client, are especially vulnerable because of age-related bone density loss.
🔶Regular bone mineral density assessments and adequate calcium and vitamin D supplementation should be part of care.
🔶Educating clients on fall prevention and weight-bearing exercises helps minimize risk for spontaneous fractures.
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This question is from ADRN 114 Pharm M-S 3 Exam 1 which contains 51 questions.
More Questions from This Exam
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The nurse is providing an older adult client teaching regarding the administration of levothyroxine. What is the nurse's priority teaching point?
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🚑Pharmacology
- Answer Choices: 4