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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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.
Correct Answer is D
Explanation
The most common clinical manifestation of Paget's disease is bone pain and deformities due to abnormal bone remodeling and increased bone turnover.
a. Severe joint pain: While joint pain can occur in Paget's disease due to bone involvement, it is not the most common manifestation. Bone pain and deformities are more characteristic.
b. Unexplained weight loss: Unexplained weight loss is not a typical symptom of Paget's disease. It is not directly related to the bone disorder.
c. Visual disturbances: Visual disturbances are not associated with Paget's disease. This condition primarily affects bones, not the eyes or vision.
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