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NCLEX-RN

Category - Physiological

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A nurse is admitting a client with suspected Paget’s disease. Which of the following assessment findings is least associated with this diagnosis?

Client has bowed legs and asymmetric knees.
Client is short for his age.
Client’s skull is soft and smaller than expected.
Client has a history of multiple fractures.

Explanation

Answer: C - Clients with Paget’s disease suffer from bone pain, deformity and fracture caused by frequent remodeling of bone. The client’s skull is soft, thick and enlarged. Platybasia, or basilar skull invagination, is a life-threatening complication of this disease because it compresses the brain stem.

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