Which precaution is essential when caring for a patient with Paget's disease?
Airborne precautions
Droplet precautions
Standard precautions
Contact precautions
The Correct Answer is D
Contact precautions are essential when caring for a patient with Paget's disease. The disease involves abnormal bone remodeling, leading to bone deformities and increased bone turnover. Close contact with the patient's body or potentially contaminated objects should be minimized to prevent transmission of the disease.
a. Airborne precautions: Paget's disease is not transmitted through the airborne route. Airborne precautions are used for diseases that spread through respiratory droplets.
b. Droplet precautions: Paget's disease is not transmitted through droplets. Droplet precautions are used for diseases spread through respiratory droplets.
c. Standard precautions: While standard precautions are essential for all patients to prevent transmission of infections, specific precautions for Paget's disease involve contact precautions.
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Related Questions
Correct Answer is C
Explanation
The bone pain experienced by clients with Paget's disease is often due to microfractures and inflammation in the affected bones. The increased bone turnover and remodeling lead to weaker bones, making them more susceptible to microfractures. The inflammation at the site of these microfractures contributes to the pain, which worsens with activity.
a. Decreased blood flow to bones: Paget's disease does not typically cause decreased blood flow to bones. Instead, the condition leads to increased vascularity in affected bones.
b. Bone infarction: Bone infarction (death of bone tissue due to inadequate blood supply) is not a characteristic feature of Paget's disease. Microfractures and inflammation are more common causes of bone pain in this condition.
d. Compression of nerve roots: While nerve compression can cause bone pain, it is not a primary mechanism of pain in Paget's disease. The pain is primarily related to bone remodeling and inflammation.
Correct Answer is C
Explanation
The main difference between Paget's disease and osteoporosis is in the underlying bone remodeling. Paget's disease is characterized by increased bone turnover and disordered bone formation, while osteoporosis involves decreased bone formation and increased bone resorption.
a. Paget's disease is characterized by decreased bone density, while osteoporosis is associated with increased bone density: This statement is incorrect. In Paget's disease, bone density can be normal or increased due to the disordered bone remodeling.
b. Paget's disease primarily affects trabecular bone, while osteoporosis affects cortical bone: This statement is incorrect. Both Paget's disease and osteoporosis can affect both trabecular and cortical bone.
d. Paget's disease is an autoimmune disorder, while osteoporosis is caused by hormonal imbalances: This statement is incorrect. Paget's disease is not an autoimmune disorder, and osteoporosis is not solely caused by hormonal imbalances. Both conditions have complex multifactorial etiologies.
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