The nurse is teaching a client with Paget's disease about the importance of regular follow-up appointments with the healthcare provider. What is the rationale for this education?
To monitor for potential complications and disease progression
To obtain prescriptions for pain medications
To receive physical therapy for bone pain
To assess calcium and vitamin D levels
The Correct Answer is A
Regular follow-up appointments with the healthcare provider are essential for clients with Paget's disease to monitor for potential complications and disease progression. Periodic evaluations help assess bone health, check for bone deformities, and adjust the treatment plan if necessary.
b. To obtain prescriptions for pain medications: While pain management may be addressed during follow-up appointments, it is not the primary reason for regular visits. Pain medications can be prescribed as needed.
c. To receive physical therapy for bone pain: Physical therapy may be part of the treatment plan for managing bone pain, but it does not solely warrant regular follow-up appointments.
d. To assess calcium and vitamin D levels: Calcium and vitamin D levels may be assessed, but they are not the main focus of regular follow-up appointments. The primary purpose is to monitor the condition's progression and assess for potential complications.
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Related Questions
Correct Answer is B
Explanation
A potential complication of Paget's disease is an increased risk of bone fractures. The abnormal bone remodeling in Paget's disease weakens the bones, leading to an increased susceptibility to fractures.
a. Hypertension: Hypertension is not a direct complication of Paget's disease. The condition primarily affects bone structures.
c. Hypothyroidism: Hypothyroidism is not associated with Paget's disease. It is a separate condition related to thyroid gland dysfunction.
d. Kidney stones: While kidney stones may be unrelated to Paget's disease, they can be a complication of other conditions or metabolic disorders.
Correct Answer is B
Explanation
A. Encouraging high-impact exercises to strengthen bones:
High-impact exercises are contraindicated in patients with Paget's disease due to the risk of fractures and bone injury. Low-impact and weight-bearing exercises are safer to maintain bone health and improve mobility.
B. Monitoring serum calcium levels regularly: Paget's disease often requires treatment with bisphosphonates or calcitonin to regulate bone remodeling. These treatments can affect calcium levels, potentially leading to hypocalcemia. Regular monitoring is crucial to detect and manage these imbalances.
C. Assisting with range-of-motion exercises to maintain joint mobility: While maintaining joint mobility is important, this is not the priority intervention. ROM exercises can be part of the overall care plan but do not address the critical metabolic imbalances associated with Paget's disease.
D. Administering corticosteroids to reduce inflammation: Corticosteroids are not a standard treatment for Paget's disease. Instead, the focus is on medications like bisphosphonates or calcitonin to regulate bone turnover.
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