What classic presenting symptom associated with multiple myeloma would the nurse assess for?
A) Liver dysfunction
B) Bone pain
C) Serum hypocalcemia
D) Nausea
Ans: B
Feedback: The classic presenting symptom of multiple myeloma is bone pain, usually in the back or ribs. Bone pain is reported by two-thirds of all patients at diagnosis. Extensive bone destruction leads to an excessive ionized calcium loss from the bone and results in hypercalcemia as it enters the serum. Renal failure may occur as the circulating immunoglobulin molecules damage the renal tubules.
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The nurse is working in a pediatric surgical unit. The nurse would expect that patient-controlled analgesia would be most appropriate for which patient?
1. Twelve-year-old who is postoperative for spinal fusion for scoliosis 2. Ten-year-old who has a fractured femur and concussion from a bike accident 3. Five-year-old who is postoperative for tonsillectomy 4. Developmentally delayed 16-year-old who is postoperative for bone surgery.
The postpartum patient delivered 4 hours ago. She has a mediolateral episiotomy and large hemorrhoids. She is rating her pain at 7 on a scale of 1–10. She has a history of anaphylactic reaction to Tylenol (acetaminophen)
1. Offer the patient 800 mg Advil (ibuprofen) orally with food. 2. Provide two Percocet (oxycodone with acetaminophen) by mouth. 3. Encourage use of Dermoplast topical anesthetic spray. 4. Run very warm water into the tub and assist her into the bath.
Diabetes mellitus is a syndrome that involves a problem with which hormone?
A. Amylin B. GIP C. Insulin D. Glucagon
When preparing a sterile field, the nurse should:
A. Flip sterile objects onto the field B. Open the innermost flaps of sterile packages first C. Apply sterile gloves before opening the packs D. Put solution receptacles close to the edge of the field