Which of these instructions is appropriate teaching for a 60-year-old woman? Select all that apply.

Question

Quizplus · Accepted Answer

The average age of menopause in the United States is 50-52. Major health risks of menopause include osteoporosis and heart disease. Bisphosphonates, such as alendronate (Fosamax), risedronate (Actonel), or ibandronate (Boniva), decrease bone resorption so that loss of bone density is minimized. They must be consumed in the morning, on an empty stomach, with at least 30 minutes before other drugs. The medication is taken with a full glass of water and the client must remain upright for at least 30 minutes to aid absorption and prevent esophageal irritation (Option D). Adequate sources (both food and supplements) of calcium and vitamin D are required to build bone mass (Option A). HRT can improve bone mass and prevent osteoporosis but is associated with increased risk of thrombotic complications (deep vein thrombosis, stroke, myocardial infarction) and some cancers (breast, uterine). Therefore, it is used only in clients who have disabling hot flashes. Unilateral leg swelling is a classic symptom of venous thromboembolism (Option C). (Option B) Anemia in older adults is usually not related to lack of iron intake, especially once menstruation has stopped. Excessive iron intake can lead to iron overload, and the risk of excess iron tends to be higher with aging. (Option E) Postmenopausal bleeding or abnormal premenopausal bleeding is the most common symptom of endometrial cancer and requires follow-up. Educational objective: A postmenopausal woman (usually after age 51) is at risk for osteoporosis and heart disease. Clients should remain upright after taking a bisphosphonate and consume calcium and vitamin D for bone health. Clotting disorder is a risk with HRT. Intermittent vaginal spotting after menopause can be a sign of endometrial cancer.

Which of These Instructions Is Appropriate Teaching for a 60-Year-Old