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 D
Explanation
Bisphosphonate medications are commonly prescribed for Paget's disease to slow down bone resorption and promote more balanced bone remodeling. Taking bisphosphonates with a full glass of water or milk helps ensure proper absorption and reduce the risk of gastrointestinal irritation.
a. "Paget's disease is a type of cancer that affects the bones." This statement is incorrect. Paget's disease is not a type of cancer but a chronic, non-cancerous condition characterized by abnormal bone remodeling.
b. "This condition is caused by a deficiency in vitamin D." This statement is incorrect. While vitamin D plays a role in bone health, Paget's disease is primarily a result of genetic factors that lead to abnormal bone remodeling.
c. "I should avoid weight-bearing exercises to prevent fractures." This statement is incorrect. Moderate weight-bearing exercises, under healthcare provider guidance, can help maintain bone strength and reduce the risk of fractures in individuals with Paget's disease.
Correct Answer is B
Explanation
Joint stiffness is a common symptom in patients with Paget's disease, especially when bone deformities are present. The nurse should closely monitor for any changes in joint mobility and range of motion, as joint stiffness can impact the patient's ability to perform daily activities.
a. Weight gain: Weight gain is not a specific symptom of Paget's disease. It is not directly related to the condition.
c. Hyperactivity: Hyperactivity is not a characteristic symptom of Paget's disease. The condition primarily affects bone structures.
d. Blurred vision: Blurred vision is not associated with Paget's disease. It is not a symptom commonly observed in individuals with the condition.
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