The nurse assessing a patient with multiple myeloma should keep in mind that patients with multiple myeloma are at risk for:
A) Chronic liver failure
B) Acute heart failure
C) Pathologic bone fractures
D) Hypoxemia
Ans: C
Feedback: Clients with multiple myeloma are at risk for pathologic bone fractures secondary to diffuse osteoporosis and osteolytic lesions. Also, patients are at risk for renal failure secondary to myeloma proteins by causing renal tubular obstruction. Liver failure and heart failure aren't usually sequelae of multiple myeloma. Hypoxemia isn't usually related to multiple myeloma.
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In talking with the family after the loss of their infant, which statement would be appropriate?
a. "You both are young. I'm sure you can have other children." b. "He's in good hands. He's in heaven." c. "It's not right for us to question God's plan and will in our lives." d. "I don't know that I can say anything that would make you feel better, but I just want you to know that I'm very sorry your baby died."
A nurse warns a newly-admitted diabetic client that to avoid injury related to a common diabetic complication, the client should
a. always call for help before getting up. b. keep needed items within easy reach. c. only ambulate with assistance. d. wear house shoes while out of bed.
Your patient is a nursing mother who asks you to look at a mole she has under her left breast at the inframammary fold. The mole is nontender and soft and has grown in size since she started nursing. There are no other changes to the mole
This mole probably represents an undiagnosed: a. Montgomery tubercle. b. case of Paget disease. c. supernumerary nipple. d. fat necrosis.
The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. Which terminology should the nurse use to document the findings?
A. Obstructive breathing. B. Hypoventilation. C. Cheyne-Stokes. D. Tachypnea.