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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Related Questions
Correct Answer is A
Explanation
X-rays are the most useful imaging modality for assessing the extent and severity of bone involvement in Paget's disease. X-rays can reveal the characteristic bony overgrowth and thickening, as well as any bone deformities and fractures.
b. Computed tomography (CT) scan: CT scans can provide detailed images of bones and soft tissues, but they may not be the initial choice for evaluating Paget's disease. X-rays are more specific for the condition.
c. Magnetic resonance imaging (MRI): While an MRI can provide detailed images of bones and soft tissues, it may not be the first-line imaging choice for evaluating Paget's disease. X-rays are more specific for bone involvement.
d. Bone densitometry (DXA scan): Bone densitometry is used to assess bone mineral density and is commonly used for conditions like osteoporosis. It may not provide the necessary information for evaluating Paget's disease.
Correct Answer is A
Explanation
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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