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
X-rays are the most useful imaging modality for assessing the extent and severity of bone involvement in Paget's disease. X-rays can reveal the characteristic bony overgrowth and thickening, as well as any bone deformities and fractures.
b. Computed tomography (CT) scan: CT scans can provide detailed images of bones and soft tissues, but they may not be the initial choice for evaluating Paget's disease. X-rays are more specific for the condition.
c. Magnetic resonance imaging (MRI): While an MRI can provide detailed images of bones and soft tissues, it may not be the first-line imaging choice for evaluating Paget's disease. X-rays are more specific for bone involvement.
d. Bone densitometry (DXA scan): Bone densitometry is used to assess bone mineral density and is commonly used for conditions like osteoporosis. It may not provide the necessary information for evaluating Paget's disease.
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