The nurse is providing education about medication management for a client with Paget's disease. Which medication is commonly used as the first-line treatment for this condition?

Patients with Paget's disease should be encouraged to maintain a high-calcium diet to support bone health. Adequate calcium intake is essential for bone strength and density, and it can help counteract the effects of abnormal bone remodeling seen in Paget's disease.

b. High-phosphorus diet: While phosphorus is also important for bone health, a high-phosphorus diet is not specific to Paget's disease. It is more relevant for patients with renal disorders.

c. High-vitamin D diet: Vitamin D is necessary for calcium absorption and bone health. However, a high-vitamin D diet is not specific to Paget's disease. Vitamin D supplements may be recommended if a deficiency is present.

d. Low-potassium diet: Potassium intake is not directly related to Paget's disease. Potassium is an essential mineral for various bodily functions, but it is not a focus in the management of the condition.

The typical clinical manifestations of Paget's disease include bone pain, bone deformities (e.g., enlarged skull, bowed legs), and an increased risk of fractures due to the weakened and structurally abnormal bones. Joint pain and gastrointestinal disturbances are not primary features of Paget's disease.

a. Joint pain and stiffness: Joint pain and stiffness are more characteristic of arthritis or other joint-related conditions, not the primary clinical manifestations of Paget's disease.

b. Muscle weakness and fatigue: While Paget's disease can cause discomfort and reduced mobility, it is not primarily associated with muscle weakness and fatigue.

d. Gastrointestinal disturbances and weight loss: Paget's disease primarily affects bone structures, and gastrointestinal disturbances and weight loss are not typical clinical manifestations of the condition.