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

Individuals with Paget's disease should be encouraged to engage in walking and low-impact exercises to promote bone health. These activities are less likely to cause fractures or stress on the bones while still supporting bone strength and density.

a. Participating in high-impact sports: High-impact sports can put excessive stress on the bones and increase the risk of fractures in individuals with Paget's disease. It is not recommended.
b. Limiting physical activity to avoid fractures: While excessive physical activity may need to be moderated to prevent fractures, limiting all physical activity is not advisable. Moderate exercise is essential for overall health and bone strength.
d. Heavy weightlifting: Heavy weightlifting can increase the risk of fractures in individuals with Paget's disease. It is not recommended, as it can put excessive stress on the bones.

The typical clinical manifestations of Paget's disease include bone pain, bone deformities (e.g., enlarged skull, bowed legs), and an increased risk of fractures due to the weakened and structurally abnormal bones. Joint pain and gastrointestinal disturbances are not primary features of Paget's disease.

a. Joint pain and stiffness: Joint pain and stiffness are more characteristic of arthritis or other joint-related conditions, not the primary clinical manifestations of Paget's disease.

b. Muscle weakness and fatigue: While Paget's disease can cause discomfort and reduced mobility, it is not primarily associated with muscle weakness and fatigue.

d. Gastrointestinal disturbances and weight loss: Paget's disease primarily affects bone structures, and gastrointestinal disturbances and weight loss are not typical clinical manifestations of the condition.