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NCLEX · General

A nurse is counseling an older adult on health promotion. Which dietary recommendation helps prevent osteoporosis?

Correct answer

Ensure adequate calcium and vitamin D intake, along with weight-bearing exercise

  1. A Avoid all dairy products
  2. B Ensure adequate calcium and vitamin D intake, along with weight-bearing exercise
  3. C Increase sodium intake
  4. D Eliminate all protein

Why this is the answer

To help PREVENT OSTEOPOROSIS, recommend ADEQUATE CALCIUM and VITAMIN D intake (vitamin D aids calcium absorption) plus WEIGHT-BEARING EXERCISE (walking, resistance training stimulate bone density). NCLEX-PN health promotion/nutrition. Other measures: avoid smoking and excessive alcohol; fall prevention. Calcium sources: dairy, leafy greens, fortified foods. OLDER ADULTS and POSTMENOPAUSAL WOMEN are at higher risk (declining estrogen reduces bone density). Avoiding dairy or protein would worsen bone/overall health. Promoting calcium, vitamin D, and weight-bearing activity to maintain bone health is a tested health-promotion concept, especially for older adults.
Source: NCLEX-PN Health Promotion — Osteoporosis Prevention

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