The nurse is performing a physical assessment on a client with Paget's disease. Which finding should the nurse attribute to the increased bone turnover and remodeling characteristic of this condition?
Cool, clammy skin
Pulsating chest pain
Warmth over affected bones
Enlarged skull circumference
The Correct Answer is C
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.
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Related Questions
Correct Answer is D
Explanation
Increasing calcium intake is important for individuals with Paget's disease to support bone density and strength. Adequate calcium intake is essential for overall bone health and can help counteract the effects of abnormal bone remodeling seen in Paget's disease.
a. Increase sodium intake to promote bone health: High sodium intake can lead to calcium excretion, which may be detrimental to bone health. Reducing sodium intake is beneficial for overall bone health.
b. Limit caffeine consumption to reduce bone resorption: While excessive caffeine intake may affect calcium absorption, moderate caffeine consumption is not directly related to Paget's disease. Calcium intake is more critical for managing the condition.
c. Reduce protein intake to prevent bone deformities: Protein intake is essential for tissue repair and bone health. Restricting protein intake is not recommended for individuals with Paget's disease, as it can impact overall health.
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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