The nurse is providing patient education to a client with Paget's disease. Which statement by the client indicates an understanding of the condition?
"Paget's disease is a type of cancer that affects the bones."
"This condition is caused by a deficiency in vitamin D."
"I should avoid weight-bearing exercises to prevent fractures."
"I will take my prescribed bisphosphonate medication with a full glass of milk."
The Correct Answer is D
Bisphosphonate medications are commonly prescribed for Paget's disease to slow down bone resorption and promote more balanced bone remodeling. Taking bisphosphonates with a full glass of water or milk helps ensure proper absorption and reduce the risk of gastrointestinal irritation.
a. "Paget's disease is a type of cancer that affects the bones." This statement is incorrect. Paget's disease is not a type of cancer but a chronic, non-cancerous condition characterized by abnormal bone remodeling.
b. "This condition is caused by a deficiency in vitamin D." This statement is incorrect. While vitamin D plays a role in bone health, Paget's disease is primarily a result of genetic factors that lead to abnormal bone remodeling.
c. "I should avoid weight-bearing exercises to prevent fractures." This statement is incorrect. Moderate weight-bearing exercises, under healthcare provider guidance, can help maintain bone strength and reduce the risk of fractures in individuals with Paget's disease.
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Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
Bowing of long bones is a characteristic skeletal finding in Paget's disease. The abnormal bone remodeling can lead to bone bowing and misalignment, particularly in the long bones of the arms and legs.
a. Scoliosis: Scoliosis is a lateral curvature of the spine and is not directly associated with Paget's disease. It may be related to other musculoskeletal conditions.
b. Kyphosis: Kyphosis is an excessive forward curvature of the spine, often seen in conditions like osteoporosis, but it is not a primary finding in Paget's disease.
c. Bone tenderness: Bone tenderness may be present due to the bone inflammation and pain associated with Paget's disease, but it is not a specific skeletal finding.
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