Which nursing intervention does the nurse plan for a patient who has multiple myeloma?
a. Maintaining fluid intake of 3 to 4 L/day to dilute calcium load
b. Limiting activity to prevent pathological fractures
c. Administering narcotic analgesics continuously to control bone pain
d. Assessing for changes in size and characteristics of lymph nodes
A
Increase fluid intake to 3000 to 4000 mL/day.
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During a mental status assessment, which question by the nurse would best assess a person's judgment?
a. "Do you feel that you are being watched, followed, or controlled?" b. "Tell me what you plan to do once you are discharged from the hospital." c. "What does the statement, 'People in glass houses shouldn't throw stones,' mean to you?" d. "What would you do if you found a stamped, addressed envelope lying on the sidewalk?"
A client's nursing care plan includes assessment for auditory hallucinations. Indicators that suggest
the client may be hallucinating include a. aloofness, haughtiness, and suspicion. b. elevated mood, hyperactivity, and distractibility. c. performing rituals and avoiding open places. d. darting eyes, tilted head, and mumbling to self.
Which of the following skin disorders is associated with diabetes?
A. Acanthosis nigricans B. Vitiligo C. Impetigo D. Folliculitis
The nurse is preparing to examine a patient's posterior thorax. What will be included in this examination?
A) Auscultation of lung sounds B) Position of trachea C) Subclavicular lymph nodes D) Sternomastoid muscle strength