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?
Calcium supplements
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Bisphosphonates
Vitamin D supplements
The Correct Answer is C
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.
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Related Questions
Correct Answer is D
Explanation
Paget's disease most commonly affects older adults, typically those over the age of 60. While it can occur at any age, the prevalence increases with age.
a. Children and adolescents: Paget's disease is rare in children and adolescents. It is more commonly seen in older individuals.
b. Young adults (ages 20-40): While Paget's disease can occur in young adults, it is less common in this age group compared to older adults.
c. Middle-aged adults (ages 40-60): While Paget's disease can occur in middle-aged adults, it is more commonly seen in older individuals.
Correct Answer is C
Explanation
An elevated alkaline phosphatase (ALP) level is a common finding in patients with Paget's disease. ALP is an enzyme present in bone cells, and its increased activity is indicative of increased bone turnover and remodeling seen in Paget's disease.
a. Serum calcium level: Serum calcium levels may be affected in Paget's disease due to abnormal bone remodeling, but they are not specific enough to confirm the diagnosis on their own.
b. Erythrocyte sedimentation rate (ESR): The ESR is a marker of inflammation and is not specific to Paget's disease. While it may be elevated due to bone inflammation, it does not confirm the diagnosis.
d. Serum creatinine level: Serum creatinine levels are not directly related to the diagnosis of Paget's disease. They are typically assessed to evaluate kidney function.
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