When caring for a patient with Paget's disease, the nurse should prioritize which intervention?
Encouraging high-impact exercises to strengthen bones
Monitoring serum calcium levels regularly
Assisting with range-of-motion exercises to maintain joint mobility
Administering corticosteroids to reduce inflammation
The Correct Answer is B
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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Related Questions
Correct Answer is D
Explanation
Paget's disease most commonly affects older adults, typically those over the age of 60. While it can occur at any age, the prevalence increases with age.
a. Children and adolescents: Paget's disease is rare in children and adolescents. It is more commonly seen in older individuals.
b. Young adults (ages 20-40): While Paget's disease can occur in young adults, it is less common in this age group compared to older adults.
c. Middle-aged adults (ages 40-60): While Paget's disease can occur in middle-aged adults, it is more commonly seen in older individuals.
Correct Answer is B
Explanation
The goal of treatment for Paget's disease is to relieve pain and prevent complications associated with bone deformities and fractures. There is no cure for Paget's disease, but treatment aims to manage symptoms and reduce the risk of complications.
a. Cure the disease completely: Paget's disease is a chronic condition with no known cure. Treatment focuses on symptom management and preventing complications.
c. Restore normal bone density: While treatment may aim to reduce abnormal bone remodeling, restoring normal bone density is not typically achievable. The focus is on pain relief and preventing complications.
d. Regenerate damaged bones: While treatment may improve bone health and reduce deformities, regenerating damaged bones to their original state is not feasible. Treatment aims to manage the disease and its consequences effectively.
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