Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?
a. Monitor fluid intake and output.
b. Administer calcium supplements.
c. Assess lymph nodes for enlargement.
d. Limit weight bearing and ambulation.
ANS: A
A high fluid intake and urine output helps prevent the complications of kidney stones caused by hypercalcemia and renal failure caused by deposition of Bence-Jones protein in the renal tubules. Weight bearing and ambulation are encouraged to help bone retain calcium. Lymph nodes are not enlarged with multiple myeloma. Calcium supplements will further increase the patient's calcium level and are not used.
You might also like to view...
Following a liver biopsy, the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours. For the first 1 to 2 hours, the nurse should keep the patient:
a. on his or her left side. b. on his or her back. c. on his or her right side. d. in high Fowler's position.
The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder?
A) Group B streptococci B) One of the rhinoviruses C) Staphylococcus viridans D) Group A beta-hemolytic streptococci
A client has a hematocrit (Hct) of 30%. The nurse interprets this to mean
a. 30% of the blood will be plasma and plasma products. b. bleeding disorders are possible. c. the blood is viscous and concentrated. d. the individual has fewer red blood cells than normal.
In the Vietnamese culture, individuals may focus on wishes and memories of their ancestors and look to them to provide direction for current situations. Which of the following types of cultural variations is being demonstrated?
a. Communication b. Personal space c. Social organization d. Perception of time