The nurse is instructing a client with Paget's disease about self-care measures to manage bone pain. Which self-care measure should the nurse recommend?
Applying cold compresses to affected areas
Limiting physical activity to reduce pain
Taking hot baths to relieve discomfort
Engaging in gentle stretching exercises
The Correct Answer is D
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.
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Related Questions
Correct Answer is C
Explanation
A potential complication of Paget's disease is an increased risk of fractures. The abnormal bone remodeling and weakening of bone structures in Paget's disease can lead to an increased susceptibility to fractures.
a. Hypertension: Hypertension is not a direct complication of Paget's disease. The condition primarily affects bone structures.
b. Osteoporosis: Paget's disease is not a form of osteoporosis. While both conditions involve bone changes, they have distinct pathophysiological mechanisms.
d. Type 2 diabetes mellitus: Type 2 diabetes mellitus is not a complication of Paget's disease. The conditions are unrelated and have different underlying causes.
Correct Answer is B
Explanation
The underlying pathophysiology of Paget's disease involves increased bone turnover and disordered bone remodeling. Osteoclasts, the bone-resorbing cells, become overactive, leading to excessive bone resorption. Osteoblasts, the bone-forming cells, attempt to repair the resorbed bone, but their activity is disordered, resulting in the formation of structurally abnormal bone.
a. Decreased bone density due to calcium deficiency: This is the pathophysiology of osteoporosis, not Paget's disease. In Paget's disease, bone density can be normal or increased due to the disordered bone remodeling.
c. Excessive collagen production leading to bone deformities: Excessive collagen production is not a characteristic feature of Paget's disease. The condition primarily involves abnormal bone remodeling by osteoclasts and osteoblasts.
d. Autoimmune attack on osteoblasts causing bone destruction: Paget's disease is not an autoimmune disorder. The disease is characterized by increased bone resorption and disordered bone formation, not an immune-mediated attack on osteoblasts.
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