A 60-year-old woman has a central dual-energy x-ray absorptiometry with a T-score of 1.9 . A health history reveals no risk factors for osteoporosis. The primary care NP should:
a. prescribe alendronate sodium (Fosamax).
b. counsel her to increase her physical activity.
c. prescribe calcitonin (Miacalcin nasal spray).
d. prescribe supplemental calcium and vitamin D.
A
This woman's T-score is less than 2.5 and indicates osteoporosis. She should begin treatment with a bisphosphonate. Increasing physical activity and taking supplemental calcium and vitamin D are indicated as well but only as part of a medication regimen. Calcitonin is not a first-line medication.
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