The nurse prepares to assess a client recovering from metabolic surgery. For which reason should this client's bone mineral density be closely monitored?
a. Low levels of vitamin B12 cause bones to lose density
b. Clients are advised to avoid milk and milk products after surgery
c. Vitamin D is only absorbed in the stomach, not in the lower jejunum
d. Metabolic bone disease is more likely in clients who lose weight rapidly
d. Metabolic bone disease is more likely in clients who lose weight rapidly
Metabolic bone disease is more likely to occur with rapid weight loss since stores prior to surgery are sequestered in adipose tissue and not readily available in the body. Vitamin B12 does not contribute to bone mineral density. Clients follow a low-fat diet after surgery but are allowed to eat smaller portions of all food groups. Nutrients, including vitamins and minerals, are absorbed in the intestines not the stomach.
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