A 55-year-old woman who experienced menopause at age 50 years undergoes central dual-energy x-ray absorptiometry and has a T-score greater than 2.5 . The patient weighs 130 lb and has a body mass index of 22 . She sits at a computer all day at work
The primary care nurse practitioner (NP) caring for this patient should: a. prescribe a bisphosphonate.
b. prescribe hormone replacement therapy.
c. counsel the patient about diet and exercise.
d. prescribe a selective estrogen receptor modulator.
C
The NP should counsel the patient about diet and exercise. Women who are at least 5 years postmenopausal or who have several risk factors should have bone density testing. Osteoporosis is defined as a T-score of less than 2.5, and treatment is indicated for women with T-scores that are 2 or more standard deviations below the normal premenopausal level. It is not necessary to initiate treatment at this time.
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