The nurse is developing a plan of care for the client with multiple myeloma. The nurse includes which priority intervention in the plan of care?
A. Coughing and deep breathing
B. Encouraging fluids
C. Monitoring red blood cell count
D. Providing frequent oral care
Answer: B
Explanation: Hypercalcemia caused by bone destruction is a priority concern in the client with multiple myeloma. The nurse should administer fluids in adequate amounts to maintain and output of 1.5 to 2 L a day. Clients require about 3 L of fluid pre day. The fluid is needed not only to dilute the calcium overload but also to prevent protein from precipitating in renal tubules. Options 1, 3, and 4 may be components in the plan of care but are not the priority in this client.
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