A client with multiple myeloma demonstrates worsening bone density on diagnostic scans. About what drug does the nurse plan to teach this client?
a. Bortezomib (Velcade)
b. Dexamethasone (Decadron)
c. Thalidomide (Thalomid)
d. Zoledronic acid (Zometa)
ANS: D
All the options are drugs used to treat multiple myeloma, but the drug used specifically for bone manifestations is zoledronic acid (Zometa), which is a bisphosphonate. This drug class inhibits bone resorption and is used to treat osteoporosis as well.
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An older client with lethargy and a headache has dry mucous membranes, sunken eyes, skin tenting over the sternum, and is oriented to person and place. Which health problem should the nurse suspect this client is experiencing?
a. Xerostomia b. Edentulism c. Dehydration d. Constipation
Adrenergic drugs mimic the action of the sympathetic nervous system. Which of the following is a response of the sympathetic nervous system?
a. decreased heart rate b. contraction of the pupils c. open the airway d. increased motility and tone of the GI tract
An 18-year-old client with complaints of fever is admitted to a healthcare facility; a small enlargement on the neck is diagnosed with Hodgkin's disease. The client has water retention due to excessive production of antidiuretic hormone (ADH)
For which of the following electrolyte disturbances should the nurse monitor the client? A) Hyponatremia B) Hypercalcemia C) Hypochloremia D) Hyperphosphatemia
The nurse is preparing to provide a subcutaneous injection. The nurse's technique would correctly include
1. Pointing the bevel of the needle up before piercing the skin. 2. Selecting a 14 gauge, 1-1/2?8" needle. 3. Placing the total dose of 2.5 mL medication in one syringe. 4. Donning sterile gloves.