A client who has osteoporosis says, "I am exercising more. I go to the gym once a week." How should the nurse respond?
1. "What kind of exercises are you doing?"
2. "You should try to exercise three to five times a week."
3. "That is not enough."
4. "Is there somewhere that you can walk on the days you don't go to the gym?"
5. "Exercise will not improve your osteoporosis."
1,2,4
Rationale 1: In order to affect osteoporosis, exercise must be weight-bearing.
Rationale 2: To affect osteoporosis, exercise should be done three to five times weekly.
Rationale 3: This is a true statement but is not therapeutic. The nurse should encourage this client's efforts at exercise.
Rationale 4: This client should exercise more frequently, and walking is a good form of exercise for those with osteoporosis.
Rationale 5: Weight-bearing exercise has been shown to slow or improve effects of osteoporosis.
Global Rationale: In order to affect osteoporosis, exercise must be weight-bearing. To affect osteoporosis, exercise should be done three to five times weekly. This client should exercise more frequently, and walking is a good form of exercise for those with osteoporosis. The nurse should encourage this client's efforts at exercise.
Weight-bearing exercise has been shown to slow or improve effects of osteoporosis.
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