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 D
Explanation
Enlarged frontal bossing (prominent forehead) is a cranial finding often seen in clients with Paget's disease due to increased bone growth in the skull bones. This can cause pressure and contribute to headaches.
a. Nystagmus: Nystagmus is an involuntary, rhythmic movement of the eyes and is not directly associated with Paget's disease.
b. Diplopia: Diplopia, or double vision, is not a typical finding in Paget's disease. It may be related to other neurological or ocular conditions.
c. Papilledema: Papilledema is swelling of the optic disc due to increased intracranial pressure. While headaches can be associated with Paget's disease, papilledema is not a common manifestation of the condition.
Correct Answer is B
Explanation
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) is an essential nursing intervention for managing bone pain in patients with Paget's disease. NSAIDs can help reduce inflammation and alleviate pain associated with bone deformities.
a. Applying cold compresses to the affected area: Applying cold compresses may provide some temporary relief, but it is not the primary intervention for managing bone pain in Paget's disease. NSAIDs are more effective for managing inflammation and pain.
c. Elevating the affected extremity: Elevating the affected extremity is not a specific intervention for managing bone pain in Paget's disease. It may be useful for managing other conditions, such as edema, but not for addressing bone pain.
d. Encouraging bed rest: While rest is important for managing pain, encouraging prolonged bed rest is not advisable for patients with Paget's disease. Moderate physical activity is essential for overall bone health and joint mobility.
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