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

Answer and Explanation

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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Correct Answer is C

Explanation

The main difference between Paget's disease and osteoporosis is in the underlying bone remodeling. Paget's disease is characterized by increased bone turnover and disordered bone formation, while osteoporosis involves decreased bone formation and increased bone resorption.

a. Paget's disease is characterized by decreased bone density, while osteoporosis is associated with increased bone density: This statement is incorrect. In Paget's disease, bone density can be normal or increased due to the disordered bone remodeling.

b. Paget's disease primarily affects trabecular bone, while osteoporosis affects cortical bone: This statement is incorrect. Both Paget's disease and osteoporosis can affect both trabecular and cortical bone.

d. Paget's disease is an autoimmune disorder, while osteoporosis is caused by hormonal imbalances: This statement is incorrect. Paget's disease is not an autoimmune disorder, and osteoporosis is not solely caused by hormonal imbalances. Both conditions have complex multifactorial etiologies.

A. Massaging affected areas to reduce swelling B. Taking over-the-counter anti-inflammatory medications C. Engaging in low-impact exercises to promote bone health D. Applying heat to affected joints to relieve pain

Correct Answer is C

Explanation

Engaging in low-impact exercises is an appropriate self-care measure for individuals with Paget's disease. Low-impact exercises, such as walking and swimming, can help support bone health, joint mobility, and overall physical well-being.

a. Massaging affected areas to reduce swelling: Massaging affected areas may exacerbate bone deformities and lead to increased pain. It is not recommended for individuals with Paget's disease.

b. Taking over-the-counter anti-inflammatory medications: Over-the-counter anti-inflammatory medications may not be sufficient to manage the inflammation and pain associated with Paget's disease. Prescribed medications are more effective in managing the condition.

d. Applying heat to affected joints to relieve pain: Applying heat may provide temporary relief for some individuals, but it is not the primary method for managing bone pain in Paget's disease. Prescribed medications and exercises are more effective approaches.

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A client with Paget's disease presents with bone pain. What other clinical manifestation should the nurse expect to find during the assessment?

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Naxlex Comprehensive Predictor Exams

How does Paget's disease differ from osteoporosis?

Correct Answer is C

Explanation

The nurse is discussing self-care measures with a client newly diagnosed with Paget's disease. Which self-care measure is appropriate for the client to implement?

Correct Answer is C

Explanation

The nurse is providing education about medication management for a client with Paget's disease. Which medication is commonly used as the first-line treatment for this condition?

A client presents with bone pain, joint stiffness, and an enlarged skull. Which diagnostic test is most likely to confirm the diagnosis of Paget's disease?

The healthcare provider orders an X-ray of a patient's bones due to suspicion of Paget's disease. What finding on the X-ray would support the diagnosis?

Which nursing intervention is important when caring for a patient with Paget's disease?

What is the most common age group affected by Paget's disease?

The nurse is performing a physical assessment on a client with Paget's disease. Which finding should the nurse attribute to the increased bone turnover and remodeling characteristic of this condition?

Which of the following bones is often affected in Paget's disease?

When caring for a patient with Paget's disease, the nurse should prioritize which intervention?