The nurse discussing treatment options with a client with Paget's disease will focus on the most frequent treatment, which is with
a. bisphosphonates.
b. calcium supplements.
c. heat and cold application.
d. splinting.
A
The current therapies of choice for Paget's disease are potent bisphosphonates, such as pamidronate (Aredia), alendronate (Fosamax), and risedronate (Actone). NSAIDs are used to control pain. Heat therapy and splinting or bracing can also be tried.
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The client tells the nurse that the medications are so expensive and says that there is a website that sells the medications at quite a reduction. What education is warranted by the nurse?
1. The client should try the medications for a while and note if they seem to have the same effect. 2. There are no legitimate sources for psychiatric medications on the internet. 3. Legitimate internet pharmacies carry accreditation that can be verified. 4. Less expensive medications will not work as well as those that cost more.
Assessing unilateral leg edema and warmth in a postoperative client complaining of pain, the surgical unit nurse suspects the complication of
a. hypovolemia. b. myocardial infarction. c. pneumonia. d. thrombophlebitis.
A newborn is noted to have a yellowish cast to his skin and sclera. Laboratory testing shows him to have an elevated bilirubin level. What nursing intervention is appropriate for this patient?
A) Initiate early feeding B) Withhold feeding until a physician gives an order for it to begin C) Withhold feeding until bilirubin levels drop D) Immediately start phototherapy
A client recovering from bone marrow transplantation is experiencing vomiting, fatigue, and skin reactions. Which of the following should the nurse do to help this client?
1. Prepare to administer platelets as prescribed. 2. Prepare to administer red blood cells as prescribed. 3. Limit fluids. 4. Explain that the client is experiencing expected short-term side effects.