When assessing the client with multiple myeloma, the nurse would expect to find the manifestation of

a. bone pain.
b. ecchymosis of the skin.
c. painless enlarged lymph nodes.
d. shortness of breath.


A
Once manifestations appear, they typically involve the skeletal system, particularly the pelvis, spine, and ribs. Some clients have backache or bone pain that worsens with movement.

Nursing

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The nurse is explaining to a patient the difference between a side effect and an adverse reaction. What response should the explanation involve?

a. Both side effects and adverse reactions are severe. b. Side effects are mild, and adverse effects are severe. c. Both side effects and adverse reactions are mild. d. Side effects are severe, and adverse reactions are mild.

Nursing

The nurse determines that an adult patient has signed a statutory living will, also known as a natural death act. What does this mean to the nurse?

1. That the health care providers who abide by the document cannot be charged with criminal negligence associated with the patient's death. 2. The document is legally binding and all health care providers will abide by its provisions. 3. The directions of the document will be followed, even if the patient makes a verbal request that directly contradicts the provisions of the document. 4. In order to revoke the document, the patient must sign a subsequent living will.

Nursing

Nurses hearing complaints of changes in the voice and impaired hearing can tell their patients that they are common reactions to:

1. decreased levels of estrogen. 2. displacement of the diaphragm that causes thoracic breathing. 3. congestion and swelling due to the upper respiratory tract becoming more vascu-lar. 4. increased volume of blood.

Nursing

Which statement by the graduate nurse indicates understanding of the importance of a cover letter?

a. "It is optional.". b. "It is necessary only if your resume needs further explanation.". c. "It should recapitulate all of the important points of your resume.". d. "It should introduce you to the reader.".

Nursing