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 B

Explanation

The goal of treatment for Paget's disease is to relieve pain and prevent complications associated with bone deformities and fractures. There is no cure for Paget's disease, but treatment aims to manage symptoms and reduce the risk of complications.
a. Cure the disease completely: Paget's disease is a chronic condition with no known cure. Treatment focuses on symptom management and preventing complications.
c. Restore normal bone density: While treatment may aim to reduce abnormal bone remodeling, restoring normal bone density is not typically achievable. The focus is on pain relief and preventing complications.
d. Regenerate damaged bones: While treatment may improve bone health and reduce deformities, regenerating damaged bones to their original state is not feasible. Treatment aims to manage the disease and its consequences effectively.

A. Scoliosis B. Kyphosis C. Bone tenderness D. Bowing of long bones

Correct Answer is D

Explanation

Bowing of long bones is a characteristic skeletal finding in Paget's disease. The abnormal bone remodeling can lead to bone bowing and misalignment, particularly in the long bones of the arms and legs.

a. Scoliosis: Scoliosis is a lateral curvature of the spine and is not directly associated with Paget's disease. It may be related to other musculoskeletal conditions.

b. Kyphosis: Kyphosis is an excessive forward curvature of the spine, often seen in conditions like osteoporosis, but it is not a primary finding in Paget's disease.

c. Bone tenderness: Bone tenderness may be present due to the bone inflammation and pain associated with Paget's disease, but it is not a specific skeletal finding.

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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

Which of the following is the goal of treatment for Paget's disease?

Correct Answer is B

Explanation

The nurse is assessing a client with suspected Paget's disease. Which skeletal finding should the nurse prioritize during the physical examination?

Correct Answer is D

Explanation

Which precaution is essential when caring for a patient with 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?

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?

The nurse is teaching a client with Paget's disease about potential complications. What complication should the nurse prioritize?

The nurse is educating a client with Paget's disease about the importance of calcium and vitamin D intake. What is the rationale for this education?

The nurse is instructing a client with Paget's disease about self-care measures to manage bone pain. Which self-care measure should the nurse recommend?

A client with Paget's disease experiences frequent headaches. Which cranial finding should the nurse assess for during the neurological examination?

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