A 25-year-old female of Asian descent has a family history of osteoporosis. The client is aware that her risk of developing the disorder is greater than the risk of the general population. Which of the following instructions provided by the nurse decreases the client’s risk for osteoporosis?
  1. Avoid weight-bearing exercises.
  2. Encourage abdominal exercises.
  3. Decrease protein intake.
  4. Limit sunlight exposure to 10 minutes, once a week, between 6 a.m. and 9 a.m.
Explanation
Answer: B- The client is encouraged to include abdominal exercises in her exercise program. This intervention improves posture and provides support to the spine. Weight-bearing exercises, such as walking and dancing, prevent the decrease of bone density. Protein intake must be increased to build stronger muscles that support the spine. Sunlight exposure, 15 to 20 minutes at least twice a week during the midday sun, promotes synthesis of vitamin D, which prevents bone disease.
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