A homecare nurse visits a patient who is 78 years old, weighs 210 pounds and lives alone. The patient has a family history of fractures. She is an excessive smoker. She doesn't drink alcohol, but loves coffee. She orders coffee and French fries from grub hub every day because she has a fear of birds. She is allergic to shellfish and has a prosthetic knee. Which factors should the nurse identify as modifiable risk factors for osteoporosis? Select all that apply.

A. Family history of fractures: Rationale: This is a non-modifiable risk factor related to genetics. B. Excessive smoker: Rationale: Smoking affects bone health and calcium absorption. It is a modifiable lifestyle factor. C. Coffee and French fries every day: Rationale: Poor nutrition and excessive caffeine/sodium intake can interfere with calcium absorption. This is modifiable through diet changes. D. 78 years old: Rationale: Non-modifiable. Age-related bone loss is a natural part of aging. E. Weight (210 lbs): Rationale: Obesity can alter hormonal levels and inactivity may contribute to osteoporosis. This is modifiable through exercise and diet.