The nurse is educating a client with Paget's disease about the importance of calcium and vitamin D intake. What is the rationale for this education?
Calcium and vitamin D can prevent the development of Paget's disease.
Calcium and vitamin D help reduce the risk of bone fractures in Paget's disease.
Calcium and vitamin D can cure Paget's disease.
Calcium and vitamin D decrease bone turnover in Paget's disease.
The Correct Answer is B
Calcium and vitamin D help reduce the risk of bone fractures in Paget's disease.
Explanation: Adequate calcium and vitamin D intake are essential for maintaining bone health and reducing the risk of bone fractures, especially in individuals with Paget's disease. While these nutrients do not cure Paget's disease, they play a crucial role in supporting bone strength and density.
a. Calcium and vitamin D can prevent the development of Paget's disease: This statement is incorrect. Paget's disease is primarily a result of genetic factors, and calcium and vitamin D intake do not prevent its development.
c. Calcium and vitamin D can cure Paget's disease: This statement is incorrect. While calcium and vitamin D are important for bone health, they do not cure Paget's disease. Treatment usually involves medications to manage the condition.
d. Calcium and vitamin D decrease bone turnover in Paget's disease: This statement is not entirely accurate. Calcium and vitamin D do not directly decrease bone turnover in Paget's disease. Medications like bisphosphonates are prescribed to address bone remodeling.
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Correct Answer is D
Explanation
Contact precautions are essential when caring for a patient with Paget's disease. The disease involves abnormal bone remodeling, leading to bone deformities and increased bone turnover. Close contact with the patient's body or potentially contaminated objects should be minimized to prevent transmission of the disease.
a. Airborne precautions: Paget's disease is not transmitted through the airborne route. Airborne precautions are used for diseases that spread through respiratory droplets.
b. Droplet precautions: Paget's disease is not transmitted through droplets. Droplet precautions are used for diseases spread through respiratory droplets.
c. Standard precautions: While standard precautions are essential for all patients to prevent transmission of infections, specific precautions for Paget's disease involve contact precautions.
Correct Answer is C
Explanation
X-ray imaging is commonly used to confirm the diagnosis of Paget's disease. X-rays can show characteristic bone changes, such as bone enlargement, thickening, and deformities, which are indicative of Paget's disease.
a. Bone density scan: While bone density scans may be useful to assess bone health in other conditions, they are not the primary diagnostic tool for Paget's disease. X-rays are preferred.
b. Magnetic resonance imaging (MRI): MRI may provide detailed images of bones and surrounding soft tissues, but it is not the first-line diagnostic test for Paget's disease. X-rays are more commonly used.
d. Blood glucose test: A blood glucose test is used to diagnose and monitor diabetes, not Paget's disease. These conditions are unrelated.
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