The nurse is caring for an older adult client. Which does the nurse suspect based on the client's age?
1. No bone changes are associated with aging.
2. Increased osteoblastic activity.
3. Decreased calcium absorption.
4. Increase in bone density.
Correct Answer: 3
As an individual ages, physiologic changes take place in the bones, muscles, connective tissue, and joints. These changes may affect the older client's mobility and endurance. Elderly persons who are housebound and immobile or whose dietary intake of calcium and vitamin D is low may also experience reduced bone mass and strength. During aging, bone resorption occurs more rapidly than new bone growth, resulting in the loss of bone density typical of osteoporosis. The entire skeleton is affected, but the vertebrae and long bones are especially impacted. The elderly client will experience decreased calcium absorption. Bone changes include decreased calcium absorption and reduced osteoblast production. Osteoblasts are the cells responsible for bone production. Osteoblast activity is reduced, not increased, with aging. Bone density decreases, not increases, in the elderly.
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