A client has been newly diagnosed with multiple myeloma and is going to be followed up with frequent, close monitoring. The client states "I'm glad at least that this disease is not so bad
I was really worried they'd find something really wrong." What response by the nurse is most ap-propriate? a. Agree with the client that he/she is quite lucky.
b. Ask the client what the physician has told him/her about the disease.
c. Explain the complicated drug regimen that will start once the client has symp-toms.
d. Warn the client that there will be days when he/she feels really bad.
B
In the initial phases when clients are asymptomatic, they are often carefully monitored until the disease progresses and then are treated with chemotherapy. However, the disease is always fatal and clients and their families need education and possibly counseling to deal with the fatal out-come of the disease. The best response by the nurse is to start that conversation by assessing ex-actly what the client understands about the disease.
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