The nurse is discussing dietary recommendations with a client diagnosed with Paget's disease. What dietary modification is important for this client?
Increase sodium intake to promote bone health.
Limit caffeine consumption to reduce bone resorption.
Reduce protein intake to prevent bone deformities.
Increase calcium intake to support bone density.
The Correct Answer is D
Increasing calcium intake is important for individuals with Paget's disease to support bone density and strength. Adequate calcium intake is essential for overall bone health and can help counteract the effects of abnormal bone remodeling seen in Paget's disease.
a. Increase sodium intake to promote bone health: High sodium intake can lead to calcium excretion, which may be detrimental to bone health. Reducing sodium intake is beneficial for overall bone health.
b. Limit caffeine consumption to reduce bone resorption: While excessive caffeine intake may affect calcium absorption, moderate caffeine consumption is not directly related to Paget's disease. Calcium intake is more critical for managing the condition.
c. Reduce protein intake to prevent bone deformities: Protein intake is essential for tissue repair and bone health. Restricting protein intake is not recommended for individuals with Paget's disease, as it can impact overall health.
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Related Questions
Correct Answer is D
Explanation
Engaging in gentle stretching exercises can help relieve bone pain and improve joint flexibility for individuals with Paget's disease. These exercises promote joint mobility and may help alleviate discomfort associated with bone deformities.
a. Applying cold compresses to affected areas: Applying cold compresses may provide some temporary relief for pain, but they do not address the underlying bone remodeling abnormalities in Paget's disease.
b. Limiting physical activity to reduce pain: While excessive physical activity may need to be moderated to prevent fractures, limiting all physical activity is not advisable for patients with Paget's disease. Gentle exercises can support bone health and overall well-being.
c. Taking hot baths to relieve discomfort: Hot baths may provide temporary relief for muscle discomfort, but they do not directly address bone pain associated with Paget's disease.
Correct Answer is C
Explanation
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.
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