The nurse is assessing a client with suspected Paget's disease. Which skeletal finding should the nurse prioritize during the physical examination?
Scoliosis
Kyphosis
Bone tenderness
Bowing of long bones
The Correct Answer is D
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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Related Questions
Correct Answer is D
Explanation
Paget's disease is most commonly observed in older adults, typically over the age of 40. It is more prevalent in the elderly population.
a. Children and adolescents: While Paget's disease can occur in younger individuals, it is much more common in older adults.
b. Young adults: Paget's disease is not commonly observed in young adults. It typically develops later in life.
c. Middle-aged adults: While Paget's disease can occur in middle-aged adults, it is more commonly seen in older adults.
Correct Answer is B
Explanation
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.
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