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 D
Explanation
Contact precautions are essential when caring for a patient with Paget's disease. The disease involves abnormal bone remodeling, leading to bone deformities and increased bone turnover. Close contact with the patient's body or potentially contaminated objects should be minimized to prevent transmission of the disease.
a. Airborne precautions: Paget's disease is not transmitted through the airborne route. Airborne precautions are used for diseases that spread through respiratory droplets.
b. Droplet precautions: Paget's disease is not transmitted through droplets. Droplet precautions are used for diseases spread through respiratory droplets.
c. Standard precautions: While standard precautions are essential for all patients to prevent transmission of infections, specific precautions for Paget's disease involve contact precautions.
Correct Answer is B
Explanation
Joint stiffness is a common symptom in patients with Paget's disease, especially when bone deformities are present. The nurse should closely monitor for any changes in joint mobility and range of motion, as joint stiffness can impact the patient's ability to perform daily activities.
a. Weight gain: Weight gain is not a specific symptom of Paget's disease. It is not directly related to the condition.
c. Hyperactivity: Hyperactivity is not a characteristic symptom of Paget's disease. The condition primarily affects bone structures.
d. Blurred vision: Blurred vision is not associated with Paget's disease. It is not a symptom commonly observed in individuals with the condition.
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