Treatment

- The management of Paget's disease aims to alleviate symptoms, prevent complications, and improve bone health.

- Bisphosphonates are the mainstay of treatment, as they inhibit bone resorption and promote more normal bone remodeling.

- Pain management with analgesics and anti-inflammatory medications may be necessary to address bone pain.

- In cases of severe bone deformities, fractures, or neurological complications, surgical intervention may be considered.

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Questions on Treatment

Correct Answer is C

Explanation

A degenerative neurological disorder causing muscle weakness: Paget's disease is not a neurological disorder. It does not directly affect the nervous system or cause muscle weakness.

Correct Answer is D

Explanation

Paget's disease most commonly affects older adults, typically those over the age of 60. While it can occur at any age, the prevalence increases with age.

Correct Answer is C

Explanation

Fibula (lower leg bone): The fibula can be affected in Paget's disease, but it is not as commonly involved as the femur.

Correct Answer is C

Explanation

Gastrointestinal disturbances and weight loss: Paget's disease primarily affects bone structures, and gastrointestinal disturbances and weight loss are not typical clinical manifestations of the condition.

Correct Answer is C

Explanation

Dietary deficiencies: While nutrition is important for bone health, dietary deficiencies are not the primary cause of Paget's disease. Genetic and environmental factors are more influential in its development.

Correct Answer is B

Explanation

Autoimmune attack on osteoblasts causing bone destruction: Paget's disease is not an autoimmune disorder. The disease is characterized by increased bone resorption and disordered bone formation, not an immune-mediated attack on osteoblasts.

Correct Answer is C

Explanation

Osteoprogenitor cells: Osteoprogenitor cells are undifferentiated cells that can differentiate into osteoblasts. They are not directly involved in the increased bone resorption seen in Paget's disease.

Correct Answer is D

Explanation

The typical pattern of bone involvement in Paget's disease is characterized by patchy areas of increased bone density (osteosclerosis) and disorganized bone formation. These areas of abnormal bone remodeling result in structurally weak and misshapen bones.

Correct Answer is B

Explanation

Ribs and sternum: The ribs and sternum can be affected by Paget's disease, but the axial skeleton, including the skull, spine, and pelvis, is more commonly affected.

Correct Answer is C

Explanation

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.

Correct Answer is D

Explanation

Bone pain is a common clinical manifestation of Paget's disease, but another hallmark of the condition is the development of bone deformities. The abnormal bone remodeling in Paget's disease can lead to enlarged, misshapen bones, particularly in weight-bearing areas such as the skull, pelvis, and long bones.

Correct Answer is D

Explanation

Bowing of long bones is a characteristic skeletal finding in Paget's disease. The abnormal bone remodeling can lead to bone bowing and misalignment, particularly in the long bones of the arms and legs.

Correct Answer is C

Explanation

Enlarged skull circumference: An enlarged skull circumference is a common manifestation of Paget's disease, but it is not directly related to the increased bone turnover and remodeling. It results from excessive bone growth in the skull bones.

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.

Correct Answer is C

Explanation

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 B

Explanation

Magnetic resonance imaging (MRI): While an MRI can provide detailed images of bones and soft tissues, it may not be the initial choice for diagnosing Paget's disease. A bone scan is more specific to evaluate bone turnover and remodeling.

Correct Answer is C

Explanation

Serum creatinine level: Serum creatinine levels are not directly related to the diagnosis of Paget's disease. They are typically assessed to evaluate kidney function.

Correct Answer is C

Explanation

Presence of osteoporotic fractures: Osteoporotic fractures are not typically associated with Paget's disease. The increased bone density and thickening in Paget's disease can actually make bones more resistant to fractures.

Correct Answer is A

Explanation

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 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.

Correct Answer is C

Explanation

Vitamin D supplements: Vitamin D is necessary for calcium absorption and bone health, but it is not the primary treatment for Paget's disease. Bisphosphonates are the mainstay of therapy.

Correct Answer is D

Explanation

Increasing calcium intake is important for individuals with Paget's disease to support bone density and strength. Adequate calcium intake is essential for overall bone health and can help counteract the effects of abnormal bone remodeling seen in Paget's disease.

Correct Answer is B

Explanation

Complete blood count (CBC): Bisphosphonate therapy does not typically have a major effect on blood cell counts. Monitoring a CBC is not a primary concern during bisphosphonate treatment for Paget's disease.

Engaging in gentle stretching exercises can help relieve bone pain and improve joint flexibility for individuals with Paget's disease. These exercises promote joint mobility and may help alleviate discomfort associated with bone deformities.

Type 2 diabetes mellitus: Type 2 diabetes mellitus is not a complication of Paget's disease. The conditions are unrelated and have different underlying causes.

Bisphosphonate medications are commonly prescribed for Paget's disease to slow down bone resorption and promote more balanced bone remodeling. Taking bisphosphonates with a full glass of water or milk helps ensure proper absorption and reduce the risk of gastrointestinal irritation. <b

Kidney stones: While kidney stones may be unrelated to Paget's disease, they can be a complication of other conditions or metabolic disorders.

Applying heat to affected joints to relieve pain: Applying heat may provide temporary relief for some individuals, but it is not the primary method for managing bone pain in Paget's disease. Prescribed medications and exercises are more effective approaches.

Calcium and vitamin D decrease bone turnover in Paget's disease: This statement is not entirely accurate. Calcium and vitamin D do not directly decrease bone turnover in Paget's disease. Medications like bisphosphonates are prescribed to address bone remodeling.

To assess calcium and vitamin D levels: Calcium and vitamin D levels may be assessed, but they are not the main focus of regular follow-up appointments. The primary purpose is to monitor the condition's progression and assess for potential complications.

No explanation

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 preven

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.

Blurred vision: Blurred vision is not associated with Paget's disease. It is not a symptom commonly observed in individuals with the condition.

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.

Lungs: Paget's disease does not directly affect the lungs. The disease primarily involves bone remodeling, not lung function.

The most common clinical manifestation of Paget's disease is bone pain and deformities due to abnormal bone remodeling and increased bone turnover.

Blood glucose test: A blood glucose test is used to diagnose and monitor diabetes, not Paget's disease. These conditions are unrelated.

Paget's disease can weaken bones, leading to an increased risk of bone fractures. The abnormal bone remodeling and increased bone turnover can result in bones that are more susceptible to breaking.

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.

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.

Type 2 diabetes mellitus: Type 2 diabetes mellitus is not a complication of Paget's disease. The conditions are unrelated and have different underlying causes.

Paget's disease is most commonly observed in older adults, typically over the age of 40. It is more prevalent in the elderly population.

It is a rare condition with a prevalence of less than 1%: Paget's disease is not considered rare. It is relatively common, particularly in older adults, with a prevalence estimated to be around 1-3% in individuals over the age of 40.

Heavy weightlifting: Heavy weightlifting can increase the risk of fractures in individuals with Paget's disease. It is not recommended, as it can put excessive stress on the bones.

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Treatment

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

What is the most common age group affected by Paget's disease? A Children and adolescents B Young adults (ages 20-40) C Middle-aged adults (ages 40-60) D Older adults (ages 60 and above) Click to see answer

Correct Answer is D

Explanation

Which of the following bones is often affected in Paget's disease? A Humerus (arm bone) B Radius (forearm bone) C Femur (thigh bone) D Fibula (lower leg bone) Click to see answer

Correct Answer is C

Explanation

What are the typical clinical manifestations of Paget's disease? A Joint pain and stiffness B Muscle weakness and fatigue C Bone pain, deformities, and fractures D Gastrointestinal disturbances and weight loss Click to see answer

Correct Answer is C

Explanation

What is the etiology of Paget's disease? A Viral infection B Bacterial infection C Genetic factors and environmental triggers D Dietary deficiencies Click to see answer

Correct Answer is C

Explanation

Correct Answer is B

Explanation

Which cell type is primarily responsible for the increased bone resorption seen in Paget's disease? A Osteocytes B Osteoblasts C Osteoclasts D Osteoprogenitor cells Click to see answer

Correct Answer is C

Explanation

Correct Answer is D

Explanation

Which bone structures are commonly affected by Paget's disease? A Long bones of the extremities B Axial skeleton, including the skull, spine, and pelvis C Hands and feet D Ribs and sternum Click to see answer

Correct Answer is B

Explanation

Correct Answer is C

Explanation

A client with Paget's disease presents with bone pain. What other clinical manifestation should the nurse expect to find during the assessment? A Muscle weakness B Hypercalcemia C Joint swelling D Bone deformities Click to see answer

Correct Answer is D

Explanation

The nurse is assessing a client with suspected Paget's disease. Which skeletal finding should the nurse prioritize during the physical examination? A Scoliosis B Kyphosis C Bone tenderness D Bowing of long bones Click to see answer

Correct Answer is D

Explanation

Correct Answer is C

Explanation

A client with Paget's disease experiences frequent headaches. Which cranial finding should the nurse assess for during the neurological examination? A Nystagmus B Diplopia C Papilledema D Enlarged frontal bossing Click to see answer

Correct Answer is D

Explanation

A client with Paget's disease complains of bone pain that worsens with activity. What is the underlying cause of this pain? A Decreased blood flow to bones B Bone infarction C Microfractures and inflammation D Compression of nerve roots Click to see answer

Correct Answer is C

Explanation

A client presents with bone pain, joint stiffness, and an enlarged skull. Which diagnostic test is most likely to confirm the diagnosis of Paget's disease? A Complete blood count (CBC) B Bone scan C Liver function tests (LFTs) D Magnetic resonance imaging (MRI) Click to see answer

Correct Answer is B

Explanation

Correct Answer is C

Explanation

The healthcare provider orders an X-ray of a patient's bones due to suspicion of Paget's disease. What finding on the X-ray would support the diagnosis? A Decreased bone density B Erosions and bone cysts C Bony overgrowth and thickening D Presence of osteoporotic fractures Click to see answer

Correct Answer is C

Explanation

The healthcare provider suspects Paget's disease in a patient. Which imaging modality is most useful for assessing the extent and severity of bone involvement? A X-ray B Computed tomography (CT) scan C Magnetic resonance imaging (MRI) D Bone densitometry (DXA scan) Click to see answer

Correct Answer is A

Explanation

Correct Answer is D

Explanation

Correct Answer is C

Explanation

Correct Answer is D

Explanation

The nurse is monitoring a client receiving bisphosphonate therapy for Paget's disease. Which laboratory parameter should the nurse prioritize monitoring during treatment? A Liver function tests (LFTs) B Serum calcium levels C Blood glucose levels D Complete blood count (CBC) Click to see answer

Correct Answer is B

Explanation

The nurse is assessing a client with Paget's disease for potential complications. Which complication should the nurse prioritize monitoring? A Hypertension B Pathologic fractures C Hyperthyroidism D Type 2 diabetes mellitus Click to see answer

The nurse is teaching a client with Paget's disease about potential complications. What complication should the nurse prioritize? A Hypertension B Bone fractures C Hypothyroidism D Kidney stones Click to see answer

Which precaution is essential when caring for a patient with Paget's disease? A Airborne precautions B Droplet precautions C Standard precautions D Contact precautions Click to see answer

The nurse should encourage patients with Paget's disease to maintain which dietary intake? A High-calcium diet B High-phosphorus diet C High-vitamin D diet D Low-potassium diet Click to see answer

Which symptom should the nurse closely monitor for in patients with Paget's disease? A Weight gain B Joint stiffness C Hyperactivity D Blurred vision Click to see answer

Which nursing intervention is essential when caring for a patient with Paget's disease experiencing bone pain? A Applying cold compresses to the affected area B Administering nonsteroidal anti-inflammatory drugs (NSAIDs) C Elevating the affected extremity D Encouraging bed rest Click to see answer

Paget's disease is a disorder primarily affecting which part of the body? A Muscles B Bones C Skin D Lungs Click to see answer

Which of the following is a common clinical manifestation of Paget's disease? A Severe joint pain B Unexplained weight loss C Visual disturbances D Bone pain and deformities Click to see answer

Which diagnostic test is commonly used to confirm the diagnosis of Paget's disease? A Bone density scan B Magnetic resonance imaging (MRI) C X-ray of affected bones D Blood glucose test Click to see answer

Paget's disease can lead to an increased risk of which complication? A Heart attack B Stroke C Osteoporosis D Bone fractures Click to see answer

Which of the following is the goal of treatment for Paget's disease? A Cure the disease completely B Relieve pain and prevent complications C Restore normal bone density D Regenerate damaged bones Click to see answer

Which nursing intervention is important when caring for a patient with Paget's disease? A Encouraging bed rest to prevent fractures B Assisting with range-of-motion exercises C Administering corticosteroids to reduce inflammation D Providing a high-calcium diet Click to see answer

What is a potential complication of Paget's disease? A Hypertension B Osteoporosis C Fractures D Type 2 diabetes mellitus Click to see answer

Paget's disease is most commonly observed in which age group? A Children and adolescents B Young adults C Middle-aged adults D Older adults Click to see answer

Which of the following statements about Paget's disease is true? A It is a hereditary condition passed down through generations. B It is caused by vitamin D deficiency. C It primarily affects the hands and feet. D It is a rare condition with a prevalence of less than 1%. Click to see answer

Which of the following activities should individuals with Paget's disease be encouraged to perform to promote bone health? A Participating in high-impact sports B Limiting physical activity to avoid fractures C Walking and low-impact exercises D Heavy weightlifting Click to see answer

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