The nurse is assessing a client with Paget's disease for potential complications. Which complication should the nurse prioritize monitoring?
Hypertension
Pathologic fractures
Hyperthyroidism
Type 2 diabetes mellitus
The Correct Answer is B
A potential complication of Paget's disease is an increased risk of pathologic fractures. The abnormal bone remodeling weakens the bones, leading to an increased susceptibility to fractures.
a. Hypertension: Hypertension is not a direct complication of Paget's disease. The condition primarily affects bone structures.
c. Hyperthyroidism: Hyperthyroidism is not associated with Paget's disease. It is a separate condition related to thyroid gland dysfunction.
d. Type 2 diabetes mellitus: Type 2 diabetes mellitus is not a complication of Paget's disease. The conditions are unrelated and have different underlying causes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Paget's disease most commonly affects older adults, typically those over the age of 60. While it can occur at any age, the prevalence increases with age.
a. Children and adolescents: Paget's disease is rare in children and adolescents. It is more commonly seen in older individuals.
b. Young adults (ages 20-40): While Paget's disease can occur in young adults, it is less common in this age group compared to older adults.
c. Middle-aged adults (ages 40-60): While Paget's disease can occur in middle-aged adults, it is more commonly seen in older individuals.
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.
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