The nurse should encourage patients with Paget's disease to maintain which dietary intake?
High-calcium diet
High-phosphorus diet
High-vitamin D diet
Low-potassium diet
The Correct Answer is A
Patients with Paget's disease should be encouraged to maintain a high-calcium diet to support bone health. Adequate calcium intake is essential for bone strength and density, and it can help counteract the effects of abnormal bone remodeling seen in Paget's disease.
b. High-phosphorus diet: While phosphorus is also important for bone health, a high-phosphorus diet is not specific to Paget's disease. It is more relevant for patients with renal disorders.
c. High-vitamin D diet: Vitamin D is necessary for calcium absorption and bone health. However, a high-vitamin D diet is not specific to Paget's disease. Vitamin D supplements may be recommended if a deficiency is present.
d. Low-potassium diet: Potassium intake is not directly related to Paget's disease. Potassium is an essential mineral for various bodily functions, but it is not a focus in the management of the condition.
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Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
Bone pain is a common clinical manifestation of Paget's disease, but another hallmark of the condition is the development of bone deformities. The abnormal bone remodeling in Paget's disease can lead to enlarged, misshapen bones, particularly in weight-bearing areas such as the skull, pelvis, and long bones.
a. Muscle weakness: While bone pain can lead to discomfort and reduced mobility, muscle weakness is not a specific clinical manifestation of Paget's disease.
b. Hypercalcemia: Hypercalcemia (elevated blood calcium levels) is not typically associated with Paget's disease. Instead, the condition is characterized by disorganized bone remodeling.
c. Joint swelling: Joint swelling is not a primary clinical manifestation of Paget's disease. Bone deformities are more characteristic of the condition.
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