An elderly patient has been diagnosed with Paget's disease. Which ...

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An elderly patient has been diagnosed with Paget's disease. Which serum electrolyte is altered in this disease process?
 
  A) Sodium
  B) Potassium
  C) Chloride
  D) Calcium

Question 2

A patient's chronic venous ulcer on the lower lateral surface of his leg requires incision and debridement (I & D). The nurse should anticipate that lidocaine will be administered by which of the following routes?
 
  A) Intravenous
  B) Topical
  C) Injection
  D) Nebulized

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Answer to Question 1

D
Feedback:
Disorders of calcium and bone metabolism include hypocalcemia, hypercalcemia, osteoporosis, Paget's disease, and bone breakdown associated with breast cancer and multiple myeloma. Sodium, potassium, and chloride alterations are not primarily associated with Paget's disease.

Answer to Question 2

C
Feedback:
Injectable lidocaine is used for infiltration of the skin or subcutaneous administration prior to minor surgical procedures, such as I & D. Nebulized administration of lidocaine is reserved for lung procedures. Topical administration would be insufficient, and IV administration is not warranted.

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