Which symptom should the nurse closely monitor for in patients with Paget's disease?
Weight gain
Joint stiffness
Hyperactivity
Blurred vision
The Correct Answer is B
Joint stiffness is a common symptom in patients with Paget's disease, especially when bone deformities are present. The nurse should closely monitor for any changes in joint mobility and range of motion, as joint stiffness can impact the patient's ability to perform daily activities.
a. Weight gain: Weight gain is not a specific symptom of Paget's disease. It is not directly related to the condition.
c. Hyperactivity: Hyperactivity is not a characteristic symptom of Paget's disease. The condition primarily affects bone structures.
d. Blurred vision: Blurred vision is not associated with Paget's disease. It is not a symptom commonly observed in individuals with the condition.
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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.
Correct Answer is D
Explanation
The primary purpose of a bone biopsy in diagnosing Paget's disease is to examine bone tissue for characteristic changes that confirm the diagnosis. Microscopic examination of the bone tissue can reveal the disorganized bone remodeling and other characteristic features of the condition.
a. To assess calcium levels in the bone: Bone biopsies are not performed to assess calcium levels in the bone. Other diagnostic tests, such as blood tests, are used for that purpose.
b. To confirm the presence of bone tumors: Paget's disease is not a bone tumor, and the biopsy is not performed to confirm the presence of tumors. The biopsy confirms the specific bone changes associated with the condition.
c. To evaluate bone density and strength: Bone biopsies do not directly evaluate bone density and strength. Other imaging modalities, such as X-rays and DXA scans, are used for assessing bone density.
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