In addition to subjective symptoms, which focused assessment should be included?

• A. Record her grip strengths.
• B. Perform an Allen's test.
• C. Observe her feet and toes.
• D. Measure her height.

Answer: (D)

Measuring height is a practical, objective way to detect changes in bone structure from osteoporosis. Vertebral compression fractures and progressive bone loss can shrink a person, sometimes subtly, so tracking height over time helps reveal deterioration that symptoms alone might not show. Regular height measurements at visits provide actionable data that can prompt further evaluation and treatment adjustments, such as imaging or medications to slow bone loss.

Grip strength assesses muscle function rather than bone integrity, Allen's test evaluates hand circulation, and observing feet and toes doesn’t directly reflect vertebral or skeletal changes linked to osteoporosis.