Answer to Question 1
Correct Answer: 1, 2, 3
The nurse should recommend that the prescribed dose of calcium be limited to no more than
600 mg of calcium at a time since as the amount absorbed declines at higher doses. This means that the maximum dose for any meal should be calcium 600 mg. This would be appropriate for breakfast and lunch. Recommending calcium 400 mg with breakfast, lunch, and dinner would also be appropriate. Calcium should be taken with food, so recommending a dose in the morning on an empty stomach or at bedtime is not appropriate.
Answer to Question 2
Correct Answer: 1, 3, 4, 5
Radiologic changes with Paget disease include punched-out appearance of bone, increase in bone thickness, linear fractures, and mosaic pattern of bone matrix. Radiolucent bands known as Looser's zones are radiologic changes associated with osteomalacia.