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Author Question: A patient has severe Paget's disease of the bone. The patient asks the nurse what can be done to ... (Read 83 times)

sabina

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on: Jul 23, 2018
A patient has severe Paget's disease of the bone. The patient asks the nurse what can be done to alleviate the pain. The nurse will suggest that the patient discuss the use of which medication with the provider?
 
  a. Alendronate (Fosamax)
  b. Calcifediol (25-Hydroxy-D3)
  c. Calcitonin-salmon (Miacalcin)
  d. Long-acting NSAIDs

Question 2

A patient is taking alendronate (Fosamax) to treat Paget's disease. The patient asks the nurse why calcium supplements are necessary. The nurse will tell the patient that calcium supplements are necessary to:
 
  a. reduce the likelihood of atrial fibrillation.
  b. maximize bone resorption of calcium.
  c. minimize the risk of esophageal cancer.
  d. prevent hyperparathyroidism .


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emilymalinowski12

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Salmon calcitonin is the drug of choice for rapid relief of pain associated with Paget's disease. Alendronate, calcifediol, and NSAIDs are not indicated.

Answer to Question 2

ANS: D
Alendronate can induce hyperparathyroidism in patients with Paget's disease; calcium supplementation can prevent this effect. Giving calcium does not reduce the incidence of atrial fibrillation, maximize bone resorption of calcium, or minimize the risk of esophageal cancer.


sabina

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

lindahyatt42

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Reply 3 on: Yesterday
Excellent

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