Which of the following client complaints should prompt a clinician to order a diagnostic workup for multiple myeloma?
A) "Lately my bones just seem to ache so badly, and nothing seems to help."
B) "Every morning my joints are so stiff that it takes me 10 or 15 minutes just to get going."
C) "I feel so weak, and the last few days I've actually fallen asleep on my coffee break at work."
D) "I vomited yesterday evening, and it looked like coffee grounds mixed with some fresh blood."
Ans: A
Feedback:
Bone pain is the most characteristic symptom of multiple myeloma. Joint stiffness is unlikely. Lethargy and bleeding may also result from the disease, but these symptoms are less specific to multiple myeloma.
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