NCLEX RN Practice Question # 475

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What you know about Osteoporosis,  ( NCLEX Review)


  • Osteoporosis is a metabolic disease characterized by bone demineralization, with loss of calcium and phosphorus salts leading to fragile bones and the subsequent risk for fractures.
  • Bone resorption accelerates as bone formation slows.
  • Osteoporosis occurs most commonly in the wrist, hip, and vertebral column.
  • Osteoporosis can occur postmenopausally or as a result of a metabolic disorder or calcium deficiency.
  • Client may be asymptomatic until the bones become fragile and a minor injury or movement causes a fracture.
  • Primary osteoporosis
    • Most often occurs in postmenopausal women; occurs in men with low testosterone levels
    • Risk factors include decreased calcium intake, deficient estrogen, and sedentary lifestyle.
  • Secondary osteoporosis
    • Causes include prolonged therapy with corticosteroids, thyroid-reducing medications, aluminum- containing antacids, or anticonvulsants.
    • Associated with immobility, alcoholism, malnutrition, or malabsorption
  • Risk factors


  • Possibly asymptomatic
  • Back pain occurs after lifting, bending, or stooping.
  • Back pain that increases with palpation
  • Pelvic or hip pain, especially with weight bearing

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