Which nursing intervention is important when caring for a patient with Paget's disease?
Encouraging bed rest to prevent fractures
Assisting with range-of-motion exercises
Administering corticosteroids to reduce inflammation
Providing a high-calcium diet
The Correct Answer is B
Assisting with range-of-motion exercises is important when caring for a patient with Paget's disease. Range-of-motion exercises can help maintain joint mobility and prevent joint contractures, which may occur due to bone changes in the disease.
a. Encouraging bed rest to prevent fractures: Bed rest is not recommended for individuals with Paget's disease, as it can lead to muscle weakness and joint stiffness.
c. Administering corticosteroids to reduce inflammation: Corticosteroids are not typically used to treat Paget's disease, as they do not address the underlying bone changes.
d. Providing a high-calcium diet: While adequate calcium intake is important for bone health, a high-calcium diet is not a specific nursing intervention for Paget's disease. Bisphosphonates are typically prescribed to address bone changes.
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Correct Answer is B
Explanation
A potential complication of Paget's disease is an increased risk of pathologic fractures. The abnormal bone remodeling 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. Hyperthyroidism: Hyperthyroidism is not associated with Paget's disease. It is a separate condition related to thyroid gland dysfunction.
d. Type 2 diabetes mellitus: Type 2 diabetes mellitus is not a complication of Paget's disease. The conditions are unrelated and have different underlying causes.
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.
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