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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Correct Answer is C
Explanation
Bisphosphonates are commonly used as the first-line treatment for Paget's disease. They work by slowing down bone resorption and promoting more balanced bone remodeling, helping to control the excessive bone turnover characteristic of the condition.
a. Calcium supplements: While calcium supplements are essential for overall bone health, they are not the first-line treatment for Paget's disease. Bisphosphonates specifically target the abnormal bone remodeling associated with the condition.
b. Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs may help manage pain and inflammation associated with Paget's disease, but they do not directly address the underlying bone remodeling abnormalities. Bisphosphonates are more effective in treating the condition.
d. Vitamin D supplements: Vitamin D is necessary for calcium absorption and bone health, but it is not the primary treatment for Paget's disease. Bisphosphonates are the mainstay of therapy.
Correct Answer is C
Explanation
The characteristic X-ray finding in Paget's disease is bony overgrowth and thickening of the affected bones. This is due to the increased bone turnover and abnormal remodeling associated with the condition.
a. Decreased bone density: Decreased bone density is associated with osteoporosis, not Paget's disease. In Paget's disease, bone density is often normal or increased due to the disorganized bone remodeling.
b. Erosions and bone cysts: Erosions and bone cysts are not specific to Paget's disease and may be seen in other bone conditions. Bony overgrowth is more characteristic of Paget's disease.
d. Presence of osteoporotic fractures: Osteoporotic fractures are not typically associated with Paget's disease. The increased bone density and thickening in Paget's disease can actually make bones more resistant to fractures.
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