A client with a diagnosis of small cell lung carcinoma has developed bone metastases, a finding that has prompted a series of new interventions. What are the primary goals of the treatment regimen for this client's bone cancer?
A) Prevention of brain metastasis and early identification of osteonecrosis
B) Promotion of bone remodeling at tumor sites through calcium and vitamin D supplements
C) Prevention of pathologic fractures and maximization of function
D) Pain management and prevention of osteomyelitis
Ans: C
Feedback:
The primary goals in treatment of metastatic bone disease are to prevent pathologic fractures and promote survival with maximum functioning, allowing the person to maintain as much mobility and pain control as possible. Osteonecrosis, osteomyelitis, and brain metastasis are not typical sequelae of bone metastasis. Tumor sites do not normally undergo remodeling, and dietary supplements alone would not foster this process.
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