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

An elevated alkaline phosphatase (ALP) level is a common finding in patients with Paget's disease. ALP is an enzyme present in bone cells, and its increased activity is indicative of increased bone turnover and remodeling seen in Paget's disease.

a. Serum calcium level: Serum calcium levels may be affected in Paget's disease due to abnormal bone remodeling, but they are not specific enough to confirm the diagnosis on their own.
b. Erythrocyte sedimentation rate (ESR): The ESR is a marker of inflammation and is not specific to Paget's disease. While it may be elevated due to bone inflammation, it does not confirm the diagnosis.
d. Serum creatinine level: Serum creatinine levels are not directly related to the diagnosis of Paget's disease. They are typically assessed to evaluate kidney function.

Regular follow-up appointments with the healthcare provider are essential for clients with Paget's disease to monitor for potential complications and disease progression. Periodic evaluations help assess bone health, check for bone deformities, and adjust the treatment plan if necessary.

b. To obtain prescriptions for pain medications: While pain management may be addressed during follow-up appointments, it is not the primary reason for regular visits. Pain medications can be prescribed as needed.

c. To receive physical therapy for bone pain: Physical therapy may be part of the treatment plan for managing bone pain, but it does not solely warrant regular follow-up appointments.

d. To assess calcium and vitamin D levels: Calcium and vitamin D levels may be assessed, but they are not the main focus of regular follow-up appointments. The primary purpose is to monitor the condition's progression and assess for potential complications.