A 50-year-old white woman who is experiencing menopause asks the primary care NP what she can do to prevent osteoporosis. She has a negative family history and no risk factors. The NP should counsel her to:
a. consider bisphosphonate therapy in 5 years.
b. undergo bone density testing every 2 years.
c. avoid high-impact sports that can lead to fractures.
d. take supplemental calcium and vitamin D every day.
D
Postmenopausal women should consume 1200 mg of calcium and at least 1000 U of vitamin D each day. Bisphosphonate therapy should be considered for persons with known risk factors. Bone density testing is indicated for women with risk factors and then routinely after age 65 . Patients should be encouraged to engage in high-impact sports if possible to improve bone density.
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