A client with Paget's disease presents with bone pain. What other clinical manifestation should the nurse expect to find during the assessment?
Muscle weakness
Hypercalcemia
Joint swelling
Bone deformities
The Correct Answer is D
Bone pain is a common clinical manifestation of Paget's disease, but another hallmark of the condition is the development of bone deformities. The abnormal bone remodeling in Paget's disease can lead to enlarged, misshapen bones, particularly in weight-bearing areas such as the skull, pelvis, and long bones.
a. Muscle weakness: While bone pain can lead to discomfort and reduced mobility, muscle weakness is not a specific clinical manifestation of Paget's disease.
b. Hypercalcemia: Hypercalcemia (elevated blood calcium levels) is not typically associated with Paget's disease. Instead, the condition is characterized by disorganized bone remodeling.
c. Joint swelling: Joint swelling is not a primary clinical manifestation of Paget's disease. Bone deformities are more characteristic of the condition.
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Related Questions
Correct Answer is A
Explanation
Paget's disease has a genetic component, and there is evidence of familial inheritance. Individuals with a family history of Paget's disease are at a higher risk of developing the condition.
b. It is caused by vitamin D deficiency: Paget's disease is not caused by vitamin D deficiency. It is primarily a result of genetic factors leading to abnormal bone remodeling.
c. It primarily affects the hands and feet: Paget's disease can affect various bones in the body, not just the hands and feet. It commonly involves the pelvis, vertebrae, and ribs.
d. It is a rare condition with a prevalence of less than 1%: Paget's disease is not considered rare. It is relatively common, particularly in older adults, with a prevalence estimated to be around 1-3% in individuals over the age of 40.
Correct Answer is D
Explanation
The typical pattern of bone involvement in Paget's disease is characterized by patchy areas of increased bone density (osteosclerosis) and disorganized bone formation. These areas of abnormal bone remodeling result in structurally weak and misshapen bones.
a. Uniform increase in bone density throughout the skeleton: This pattern of bone density is not characteristic of Paget's disease. The condition involves localized areas of increased density rather than uniform changes.
b. Focal areas of bone demineralization scattered throughout the skeleton: This pattern of bone demineralization is more characteristic of osteoporosis, not Paget's disease.
c. Diffuse increase in bone density with areas of focal bone loss: This pattern is not typical of Paget's disease. The condition primarily involves areas of increased bone density and disordered bone remodeling.
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