The nurse is assessing a client with Paget's disease for potential complications. Which complication should the nurse prioritize monitoring?

A bone scan is the most appropriate diagnostic test for confirming the diagnosis of Paget's disease. It can reveal increased bone turnover and abnormal bone remodeling patterns characteristic of the condition. The bone scan can show "hot spots" of increased uptake in affected bones.

a. Complete blood count (CBC): While a CBC can be useful in ruling out other conditions, it does not directly diagnose Paget's disease. Specific bone imaging is required for confirmation.
c. Liver function tests (LFTs): Liver function tests are not used to diagnose Paget's disease. The condition primarily affects bone structures, and liver involvement is not a primary concern.
d. Magnetic resonance imaging (MRI): While an MRI can provide detailed images of bones and soft tissues, it may not be the initial choice for diagnosing Paget's disease. A bone scan is more specific to evaluate bone turnover and remodeling.

Administering nonsteroidal anti-inflammatory drugs (NSAIDs) is an essential nursing intervention for managing bone pain in patients with Paget's disease. NSAIDs can help reduce inflammation and alleviate pain associated with bone deformities.

a. Applying cold compresses to the affected area: Applying cold compresses may provide some temporary relief, but it is not the primary intervention for managing bone pain in Paget's disease. NSAIDs are more effective for managing inflammation and pain.

c. Elevating the affected extremity: Elevating the affected extremity is not a specific intervention for managing bone pain in Paget's disease. It may be useful for managing other conditions, such as edema, but not for addressing bone pain.

d. Encouraging bed rest: While rest is important for managing pain, encouraging prolonged bed rest is not advisable for patients with Paget's disease. Moderate physical activity is essential for overall bone health and joint mobility.