The nurse is caring for a client medically diagnosed with early osteoporosis whose family has asked what actions will help the client to slow the process of the disease. Which intervention by the nurse is most applicable for this client?
1. Institute an exercise plan that includes weight-bearing activities
2. Decrease the amount of calcium in the client's diet
3. Protect the client's bones with strict bed rest
4. Provide the client with assisted range of motion exercising twice daily
1. Institute an exercise plan that includes weight-bearing activities
Rationale:
Osteoporosis is a demineralization of the bone in which calcium leaves the bone matrix. One causative factor is lack of weight-bearing activity. Weight bearing helps to move calcium back into the bone, thereby strengthening them. A standard intervention for those attempting to prevent or reverse osteoporosis is beginning an exercise plan that includes weight-bearing activities. Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity. Calcium in the diet is increased with osteoporosis. Assisted range of motion exercises are not weight bearing and do not help delay or reverse osteoporosis.
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