Lillian Cho, a 65-year-old female client (DOB: 5/22/1959), presents for

Lillian Cho, a 65-year-old female client (DOB: 5/22/1959), presents for a follow up visit after having a routine DXA scan to assess for osteoporosis. She has a 3.6% 10-year probability of hip fracture and a 25% 10-year probability of a major osteoporosis-related fracture. The NP has ruled out the causes of secondary osteoporosis. Her physical exam is unremarkable, and her lab results are normal. Based on the DXA scores, Lillian is diagnosed with osteoporosis and the NP considers appropriate pharmacotherapy in addition to calcium and vitamin D. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?

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