Which of these statements about myeloma is TRUE?
a. It is diagnosed with a chest X-ray.
b. It most commonly affects children between the ages of 4 and 18 years.
c. Chest pain is usually the initial symptom.
d. Treatment is symptomatic.
D
Bone pain is usually the initial symptom of multiple myeloma, particularly pain in the ribs, spine, and pelvis; long bones ache and joints are swollen and tender, accompanied by low-grade fever, fatigue, and weakness. Medical management is primarily directed toward treating the client's symptoms; radiation and chemotherapy may be used to reduce tumor size and growth. Nursing care focuses on relieving the client's pain, minimizing risk for injury, and preventing infections. The client is encouraged to remain mobile as long as possible and to eat small meals frequently throughout the day.
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The nurse is teaching a family how to care for an infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. The nurse will include in the parental education instructions to:
1. Apply lotion or powder to minimize skin irritation. 2. Put clothing over the harness for maximum effectiveness of the device. 3. Check at least two or three times a day for red areas under the straps. 4. Place the diaper over the harness, preferably using a thin, superabsorbent disposable diaper.
The mother of a newborn with esophageal atresia asks the nurse to explain this condition to her. The best response by the nurse would be to say that esophageal atresia is:
a. characterized by incomplete formation of the esophagus so it ends before it gets to the stomach b. an extreme narrowing of the esophagus so that no liquids can get through the opening c. an outpouching of the esophagus just before it reaches the top of the stomach d. a narrowing of the top of the esophagus with a ballooning out in the middle and narrowing at the bottom
Which intervention demonstrates an understanding of the impact appropriate teaching has on client adherence to their care plan?
A) Providing educational materials at the appropriate developmental level B) Assessing the client's self perceived educational needs regarding their care C) Reinforcement of information through a variety of teaching activities and exercises D) Identifying sources where medications and supplies can be obtained at reasonable cost
Pulse is the rhythmic pressure of the blood against artery walls
Indicate whether the statement is true or false.