A 68-year-old female patient has been prescribed omeprazole for chronic gastroesophageal reflux disease (GERD). She is concerned about her risk for bone loss. Which nursing intervention is most appropriate to minimize the risk of osteoporosis related to long-term omeprazole use?

A. Instruct the patient to avoid weight-bearing exercises to reduce fracture risk: Weight-bearing exercises help maintain bone density and reduce osteoporosis risk. Avoiding these activities can accelerate bone loss, especially in older adults, and is not recommended for patients concerned about osteoporosis. B. Encourage the patient to increase calcium and vitamin D intake while taking omeprazole: Long-term proton pump inhibitor use can reduce calcium absorption, increasing the risk of osteoporosis and fractures. Adequate calcium and vitamin D intake supports bone health and helps counteract this risk while continuing necessary GERD treatment. C. Recommend stopping omeprazole after 16 weeks of treatment to prevent bone loss: Discontinuing omeprazole without healthcare provider guidance may lead to uncontrolled GERD symptoms and complications. Treatment duration should be determined by the provider based on symptom control and risk-benefit assessment. D. Advise the patient to increase caffeine intake to stimulate bone formation: High caffeine intake is associated with decreased calcium absorption and increased bone loss. Increasing caffeine would worsen osteoporosis risk rather than protect bone health.