What is the typical pattern of bone involvement in Paget's disease?

Uniform increase in bone density throughout the skeleton.

Focal areas of bone demineralization scattered throughout the skeleton.

Diffuse increase in bone density with areas of focal bone loss.

Patchy areas of increased bone density and disorganized bone formation.

Answer and Explanation

The Correct Answer is D

The typical pattern of bone involvement in Paget's disease is characterized by patchy areas of increased bone density (osteosclerosis) and disorganized bone formation. These areas of abnormal bone remodeling result in structurally weak and misshapen bones.

a. Uniform increase in bone density throughout the skeleton: This pattern of bone density is not characteristic of Paget's disease. The condition involves localized areas of increased density rather than uniform changes.

b. Focal areas of bone demineralization scattered throughout the skeleton: This pattern of bone demineralization is more characteristic of osteoporosis, not Paget's disease.

c. Diffuse increase in bone density with areas of focal bone loss: This pattern is not typical of Paget's disease. The condition primarily involves areas of increased bone density and disordered bone remodeling.

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Correct Answer is D

Explanation

Increasing calcium intake is important for individuals with Paget's disease to support bone density and strength. Adequate calcium intake is essential for overall bone health and can help counteract the effects of abnormal bone remodeling seen in Paget's disease.

a. Increase sodium intake to promote bone health: High sodium intake can lead to calcium excretion, which may be detrimental to bone health. Reducing sodium intake is beneficial for overall bone health.

b. Limit caffeine consumption to reduce bone resorption: While excessive caffeine intake may affect calcium absorption, moderate caffeine consumption is not directly related to Paget's disease. Calcium intake is more critical for managing the condition.

c. Reduce protein intake to prevent bone deformities: Protein intake is essential for tissue repair and bone health. Restricting protein intake is not recommended for individuals with Paget's disease, as it can impact overall health.

A. Scoliosis B. Kyphosis C. Bone tenderness D. Bowing of long bones

Correct Answer is D

Explanation

Bowing of long bones is a characteristic skeletal finding in Paget's disease. The abnormal bone remodeling can lead to bone bowing and misalignment, particularly in the long bones of the arms and legs.

a. Scoliosis: Scoliosis is a lateral curvature of the spine and is not directly associated with Paget's disease. It may be related to other musculoskeletal conditions.

b. Kyphosis: Kyphosis is an excessive forward curvature of the spine, often seen in conditions like osteoporosis, but it is not a primary finding in Paget's disease.

c. Bone tenderness: Bone tenderness may be present due to the bone inflammation and pain associated with Paget's disease, but it is not a specific skeletal finding.

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What is the typical pattern of bone involvement in Paget's disease?

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Naxlex Comprehensive Predictor Exams

The nurse is discussing dietary recommendations with a client diagnosed with Paget's disease. What dietary modification is important for this client?

Correct Answer is D

Explanation

The nurse is assessing a client with suspected Paget's disease. Which skeletal finding should the nurse prioritize during the physical examination?

Correct Answer is D

Explanation

What is the most common age group affected by Paget's disease?

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?

The nurse should encourage patients with Paget's disease to maintain which dietary intake?

The nurse is providing education about medication management for a client with Paget's disease. Which medication is commonly used as the first-line treatment for this condition?

Which of the following activities should individuals with Paget's disease be encouraged to perform to promote bone health?

The nurse is teaching a client with Paget's disease about potential complications. What complication should the nurse prioritize?

The nurse is discussing self-care measures with a client newly diagnosed with Paget's disease. Which self-care measure is appropriate for the client to implement?

The healthcare provider orders an X-ray of a patient's bones due to suspicion of Paget's disease. What finding on the X-ray would support the diagnosis?