Upon analysis of laboratory data of a patient with multiple myeloma, the nurse expects to observe which of the following findings?
A) Serum hypokalemia
B) Serum hypercalcemia
C) Serum hyponatremia
D) Serum hypermagnesemia
Ans: B
Feedback: Extensive bone destruction will leave to an excessive ionized calcium loss from the bone and results in hypercalcemia as it enters the serum.
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The nurse is providing an education session regarding mobility for a client who has experienced a myocardial infarction 10 days ago
While reviewing for this educational session, the nurse should recognize that one of the following teaching points listed below would not be appropriate to discuss with this client? A) The reduced circulation of an individual who has been on bed rest can cause blood clots to form in the legs. B) The individual's heart, which has been consistently lying down, actually has to work harder than when standing up. C) An individual who has been on bed rest has a faster heart beat, and as a result, there can be an increase in his blood pressure. D) An individual staying in bed can experience excess fluid volume that may result in pitting edema of the lower extremities.
The nurse is explaining to a group of clients how the hormones in the body work. The nurse concludes that learning has occurred when a client states:
1. "My thyroid gland produces a hormone that regulates my body temperature." 2. "My adrenal cortex helps support me during stress." 3. "The acini cells of the pancreas regulate my blood sugar." 4. "Part of the pituitary gland releases growth hormone."
A client being treated for compartment syndrome has been hospitalized for 4 days
He has no history of psychiatric disorder but is described by his family as being "a difficult person who finds fault with others.". From the day of admission he has verbally abused the nurses for their inability to provide care that keeps him pain free and comfortable. Nursing interventions that should be introduced include (multiple answers may be correct) A. providing activities that distract or entertain. B. clarifying actions the nurse can take. C. providing medication on schedule. D. meeting requests only when politely verbalized. E. establishing penalties for inappropriate behavior. F. encouraging the client to plan with nurse.
A nurse working in a family planning clinic is preparing to administer a first dose of intramus-cular DMPA [Depo-Provera] to a young adult patient. The woman tells the nurse she has just finished her period. What will the nurse do?
a. Administer the injection today and coun-sel backup contraception for 7 days. b. Administer the injection today and tell her that protection is immediate. c. Obtain a pregnancy test to rule out preg-nancy before administering the drug. d. Schedule an appointment for her to re-ceive the injection in 3 weeks.