A 50-year-old female patient is concerned that she will develop osteoporosis because both of her maternal aunts have been diagnosed with the disorder. Which of the following would be indicated for this patient?
1. A DEXA test
2. Daily intake of 2000 mg of calcium
3. Prescription for Actonel
4. Prophylactic nonsteroidal anti-inflammatory medication
A DEXA test
Rationale: Assessment of bone mass is the primary measurement for osteoporosis. The bone mineral density test, or a DEXA test, uses a technique that measures any skeletal site and then compares bone density values with other values in a reference population of the same age, race, and gender. For adults, the surgeon general recommends 1000 to 1200 mg of calcium each day, depending upon the age of the individual. The daily intake of 2000 mg of calcium might be too much for the patient. Actonel is a medication prescribed for a patient diagnosed with osteoporosis. There is no need for the patient to be prescribed prophylactic nonsteroidal anti-inflammatory medication.
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