The nurse is assessing a client with Paget's disease. Which finding would the nurse identify as being characteristic of this disease?

Elevated serum calcium levels

Elongated trunk

Warm, swollen areas over femur

Mosaic pattern of bone

Answer and Explanation

The Correct Answer is D

A. Elevated serum calcium levels: This is not typical for Paget's disease. While hypercalcemia can occur in advanced stages, the primary issue in Paget's disease is abnormal bone remodeling.

B. Elongated trunk: This is not characteristic of Paget's disease. Paget's disease affects bone remodeling and can lead to deformities such as bowing of the legs or enlarged bones, but not an elongated trunk.

C. Warm, swollen areas over femur: This can occur in Paget's disease due to increased blood flow to the affected bones, but it is not the most distinctive feature.

D. Mosaic pattern of bone: This pattern, which appears on X-ray, is a hallmark of Paget’s disease, indicating disorganized bone remodeling and a disruption of normal bone architecture.

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Correct Answer is B

Explanation

A. Have you had any immunizations recently?: Immunizations are not associated with a significant risk of infectious endocarditis.

B. Have you had any dental work done recently?: Dental procedures can introduce bacteria into the bloodstream, posing a risk for endocarditis, especially in clients with prosthetic valves.

C. Do you have a family history of endocarditis?: Endocarditis is not typically hereditary; risk factors are more related to procedures, infections, or valve abnormalities.

D. Have you ever suffered a heart attack?: While a history of a heart attack is relevant to cardiac health, it does not directly increase the risk for infectious endocarditis.

A. Pacemaker B. Cardiac catheterization C. Pulmonary artery pressure monitoring D. Cardioversion

Correct Answer is D

Explanation

A. Pacemaker: Pacemakers are used for bradyarrhythmias or heart block, not typically for atrial flutter.

B. Cardiac catheterization: This is used for diagnostic or interventional procedures, not for rhythm correction.

C. Pulmonary artery pressure monitoring: This is a monitoring tool for critically ill clients with heart failure or pulmonary hypertension, not a treatment for atrial flutter.

D. Cardioversion: Cardioversion is often used for atrial flutter when drug therapy fails. It delivers synchronized electrical energy to restore normal sinus rhythm.

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The nurse is assessing a client with Paget's disease. Which finding would the nurse identify as being characteristic of this disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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