The nurse is discussing self-care measures with a client newly diagnosed with Paget's disease. Which self-care measure is appropriate for the client to implement?
Massaging affected areas to reduce swelling
Taking over-the-counter anti-inflammatory medications
Engaging in low-impact exercises to promote bone health
Applying heat to affected joints to relieve pain
The Correct Answer is C
Engaging in low-impact exercises is an appropriate self-care measure for individuals with Paget's disease. Low-impact exercises, such as walking and swimming, can help support bone health, joint mobility, and overall physical well-being.
a. Massaging affected areas to reduce swelling: Massaging affected areas may exacerbate bone deformities and lead to increased pain. It is not recommended for individuals with Paget's disease.
b. Taking over-the-counter anti-inflammatory medications: Over-the-counter anti-inflammatory medications may not be sufficient to manage the inflammation and pain associated with Paget's disease. Prescribed medications are more effective in managing the condition.
d. Applying heat to affected joints to relieve pain: Applying heat may provide temporary relief for some individuals, but it is not the primary method for managing bone pain in Paget's disease. Prescribed medications and exercises are more effective approaches.
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Related Questions
Correct Answer is C
Explanation
The increased bone turnover and remodeling in Paget's disease can cause warmth and erythema (redness) over the affected bones. This is due to the increased blood flow and metabolic activity in the affected areas.
a. Cool, clammy skin: Cool, clammy skin is not directly related to the increased bone turnover and remodeling in Paget's disease. It may be related to other factors, such as circulation or environmental conditions.
b. Pulsating chest pain: Pulsating chest pain is not a typical finding in Paget's disease. It may be related to other cardiac or respiratory conditions.
d. Enlarged skull circumference: An enlarged skull circumference is a common manifestation of Paget's disease, but it is not directly related to the increased bone turnover and remodeling. It results from excessive bone growth in the skull bones.
Correct Answer is A
Explanation
Paget's disease has a genetic component, and there is evidence of familial inheritance. Individuals with a family history of Paget's disease are at a higher risk of developing the condition.
b. It is caused by vitamin D deficiency: Paget's disease is not caused by vitamin D deficiency. It is primarily a result of genetic factors leading to abnormal bone remodeling.
c. It primarily affects the hands and feet: Paget's disease can affect various bones in the body, not just the hands and feet. It commonly involves the pelvis, vertebrae, and ribs.
d. It is a rare condition with a prevalence of less than 1%: Paget's disease is not considered rare. It is relatively common, particularly in older adults, with a prevalence estimated to be around 1-3% in individuals over the age of 40.
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