The nurse is monitoring a client receiving bisphosphonate therapy for Paget's disease. Which laboratory parameter should the nurse prioritize monitoring during treatment?
Liver function tests (LFTs)
Serum calcium levels
Blood glucose levels
Complete blood count (CBC)
The Correct Answer is B
Monitoring serum calcium levels is important during bisphosphonate therapy for Paget's disease. Bisphosphonates can affect calcium metabolism, and monitoring calcium levels helps ensure appropriate dosing and prevent complications such as hypocalcemia or hypercalcemia.
a. Liver function tests (LFTs): Bisphosphonates generally do not have a significant impact on liver function. Monitoring LFTs is not a primary concern during bisphosphonate therapy.
c. Blood glucose levels: Bisphosphonate therapy is not known to affect blood glucose levels. Monitoring blood glucose is not directly related to Paget's disease treatment.
d. Complete blood count (CBC): Bisphosphonate therapy does not typically have a major effect on blood cell counts. Monitoring a CBC is not a primary concern during bisphosphonate treatment for Paget's disease.
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Related Questions
Correct Answer is D
Explanation
Enlarged frontal bossing (prominent forehead) is a cranial finding often seen in clients with Paget's disease due to increased bone growth in the skull bones. This can cause pressure and contribute to headaches.
a. Nystagmus: Nystagmus is an involuntary, rhythmic movement of the eyes and is not directly associated with Paget's disease.
b. Diplopia: Diplopia, or double vision, is not a typical finding in Paget's disease. It may be related to other neurological or ocular conditions.
c. Papilledema: Papilledema is swelling of the optic disc due to increased intracranial pressure. While headaches can be associated with Paget's disease, papilledema is not a common manifestation of the condition.
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.
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