A patient comes into the orthopedic clinic complaining of severe pain in his hip that was not caused by a fall. On inspection, the femur and tibia are bowed
There is also a reduced angle of the femoral neck, which gives the patient a "waddling gait" appearance. The doctor suspects Paget disease. The patient asks how he got that. The nurse will respond,
A)
"It's because you don't eat enough calcium-rich foods in your diet."
B)
"When you were a child you probably broke you hip, and since it wasn't displaced, you continued to walk on it."
C)
"It might be related to a thyroid condition. We will need to run some more blood work."
D)
"It's most likely a genetic predisposition. Do you know if anyone else in your family has this problem?"
Ans:
D
Feedback:
Although the cause of Paget disease remains unclear, there is evidence of both genetic and environmental influences. It has been reported that 15% to 40% of people with the disease have a first-degree relative with Paget disease, and numerous studies have described extended family members with the disease.
You might also like to view...
The clinic nurse assesses a client with diabetes during a checkup. The client also has osteoarthritis (OA). The nurse notes the client's blood glucose readings have been elevated. What question by the nurse is most appropriate?
a. "Are you compliant with following the diabetic diet?" b. "Have you been taking glucosamine supplements?" c. "How much exercise do you really get each week?" d. "You're still taking your diabetic medication, right?"
When using the International Classification of Nursing Practice, which one of the following axes would the nurse expect to find?
A) Diagnostic concept B) Unit of care C) Focus D) Potentiality
Physical illness may be preceded by stressful life situations.
Answer the following statement true (T) or false (F)
The nurse with limited clinical experience is assigned to care for a patient with a complicated mental health issue. Which should the nurse consider before negotiating for a more appropriate patient care assignment? (Select all that apply.)
1. Compare the nurse-patient ratio to national norms. 2. List personal consequences if the assignment is refused. 3. Analyze the assignment for adhering to the code of ethics. 4. Identify personal skill level needed to safely provide care to the patient. 5. Determine if the assignment is permitted by the state nurse practice act.