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 etiology of Paget's disease involves a combination of genetic factors and environmental triggers. There is evidence of a genetic predisposition, but environmental factors also play a role in the development of the condition. Viral and bacterial infections, as well as dietary deficiencies, are not considered primary causes of Paget's disease.
a. Viral infection: Paget's disease is not caused by a viral infection.
b. Bacterial infection: Paget's disease is not caused by a bacterial infection.
d. Dietary deficiencies: While nutrition is important for bone health, dietary deficiencies are not the primary cause of Paget's disease. Genetic and environmental factors are more influential in its development.
Correct Answer is C
Explanation
X-ray imaging is commonly used to confirm the diagnosis of Paget's disease. X-rays can show characteristic bone changes, such as bone enlargement, thickening, and deformities, which are indicative of Paget's disease.
a. Bone density scan: While bone density scans may be useful to assess bone health in other conditions, they are not the primary diagnostic tool for Paget's disease. X-rays are preferred.
b. Magnetic resonance imaging (MRI): MRI may provide detailed images of bones and surrounding soft tissues, but it is not the first-line diagnostic test for Paget's disease. X-rays are more commonly used.
d. Blood glucose test: A blood glucose test is used to diagnose and monitor diabetes, not Paget's disease. These conditions are unrelated.
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