What would the nurse identify as a priority diagnosis for a client with osteoporosis?
1. Activity Intolerance related to inadequate nutrition and anemia
2. Injury, Risk for related to loss of bone calcium
3. Infection, Risk for related to impaired host defenses
4. Constipation related to side effects of calcium replacement therapy
Correct Answer: 2
Rationale 1: Osteoporosis occurs, particularly after menopause, as a result of unbalanced bone resorption and bone formation. It does not necessarily lead to activity intolerance.
Rationale 2: The client who has osteoporosis is at increased risk for injury from falls and resulting fractures.
Rationale 3: Host defenses are not impaired with osteoporosis.
Rationale 4: Constipation is an adverse effect of some calcium replacement therapies, but it is not a priority.
Global Rationale: The client who has osteoporosis is at increased risk for injury from falls and resulting fractures. Osteoporosis occurs, particularly after menopause, as a result of unbalanced bone resorption and bone formation. It does not necessarily lead to activity intolerance. Host defenses are not impaired with osteoporosis. Constipation is an adverse effect of some calcium replacement therapies, but it is not a priority.
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