Final answer:
The client is at risk for osteoporosis due to smoking history, alcohol use, low activity level, and vitamin D deficiency.
Step-by-step explanation:
The nurse is reviewing the client's medical record. The findings that place the client at risk for osteoporosis are:
- Smoking history: Smoking is a risk factor for osteoporosis as it can decrease bone density.
- Alcohol use: Excessive alcohol consumption can interfere with the body's ability to absorb calcium, leading to osteoporosis.
- Activity level: A sedentary lifestyle increases the risk of osteoporosis as it doesn't promote bone density and strength.
- Vitamin D level: Vitamin D deficiency can affect calcium absorption, which is necessary for maintaining strong bones.