A patient with multiple myeloma is being cared for at home. Which nursing diagnosis should guide the nurse when teaching the family how to provide care for the patient?
a. Risk for Injury related to compromised bone integrity
b. Ineffective Tissue Perfusion related to vascular occlusion
c. Risk for Deficient Fluid Volume related to bleeding disorder
d. Ineffective Airway Clearance related to cervical lymphadenopathy
ANS: A
Multiple myeloma causes destruction of the bone and widespread osteoporosis. B. C. D. It does not directly affect airway clearance, tissue perfusion, or fluid volume.
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When reviewing growth and development of the adolescent with a group of parents, the nurse identifies which of the following as components and needs of this stage? Standard Text: Select all that apply
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A number of patients in an acute cardiac care unit of a hospital have diagnoses of impaired cardiac conduction. Which of the following patients is most deserving of immediate medical attention?
A) A 46-year-old man whose cardiac telemetry shows him to be in ventricular tachycardia B) A 69-year-old woman who has entered ventricular fibrillation C) A 60-year-old man with premature ventricular contractions (PVC) and a history of atrial fibrillation D) A 60-year-old woman who has just been diagnosed with a first-degree AV block
A nursing student is studying about the classical pathway. The student knows that the classical pathway is triggered after antibodies bind to microbes. This pathway is part of what kind of immunity?
A) The cellular type of adaptive immunity B) The humoral type of passive immunity C) The cellular type of passive immunity D) The humoral type of adaptive immunity
In girls, what is the initial indication of puberty?
a. Menarche b. Growth spurt c. Breast development d. Growth of pubic hair