A client is in the internal medicine clinic reporting bone pain. The client's alkaline phosphatase level is 180 units/L. What action by the nurse is most appropriate?
a. Assess the client for leg bowing.
b. Facilitate an oncology workup.
c. Instruct the client on fluid restrictions.
d. Teach the client about ibuprofen (Motrin).
ANS: A
This client has manifestations of Paget's disease. The nurse should assess for other manifestations such as bowing of the legs. Other care measures can be instituted once the client has a confirmed diagnosis.
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