The nurse is assessing a client with Paget's disease. Which assessment finding leads the nurse to notify the health care provider immediately?
a. Client is 5 feet in height and weighs 130 pounds.
b. Long bones of the legs and arms are bowing.
c. Base of the skull is enlarged with changes in vital signs.
d. Mild pain is present in the area of the hips and pelvis.
C
It is common for the client with Paget's disease to be short in stature and to develop bowing of the long bones and mild to moderate pain, which often occurs in weight-bearing joints. When the skull becomes enlarged with basilar invagination, the brainstem may become damaged; this can threaten the vital sign center and life itself.
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