Jane Smith is a 54-year-old elementary school teacher who has recently had a bon

Jane Smith is a 54-year-old elementary school teacher who has recently had a bone density screening test indicating low bone mass. She has a history of COPD and has required treatment with corticosteroids on a number of occasions over the past 10 years. She continues to smoke one pack per day. She is postmenopausal and is not taking hormone replacement therapy. The nurse is providing education to Ms. Smith on osteoporosis prevention.
1. Ms. Smith states that she knows she needs adequate amounts of calcium to prevent osteoporosis, so she takes a multivitamin each day. How should the nurse respond?
2. Discuss Ms. Smith’s risk factors for osteoporosis. In addition to calcium supplementation, what measures could she take to reduce her risk?
3. Ms. Smith states that she has seen television commercials for ibandronate and asks if this medication would be of benefit to her. How should the nurse respond?