A female client is undergoing tests for multiple myeloma. Diagnostic study findings in multiple myeloma include:
A. a decreased serum creatinine level.
B. hypocalcemia.
C. Bence Jones protein in the urine.
D. a low serum protein level.
Answer: C
Explanation: Presence of Bence Jones protein in the urine almost always confirms the disease, but absence doesn't rule it out. Serum calcium levels are elevated because calcium is lost from the bone and reabsorbed in the serum. Serum protein electrophoresis shows elevated globulin spike. The serum creatinine level may also be increased.
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The client pregnant with her first child reports that her husband wants her to visit a homeopath for help with her nausea and vomiting. The client asks what the nurse's opinion of homeopathy is. The best response by the nurse is:
1. "Homeopathy is unproven and potentially dangerous. Avoid using homeopathic remedies." 2. "The FDA has approved homeopathic remedies, and practitioners undergo education and certification." 3. "I can't give you advice about what alternatives to try. Go online and do some research to get information." 4. "Homeopathy is the same as herbal remedies. Some are safe during pregnancy and some are not."
A patient tells the nurse that it seems like the only time she gets a cold is when she is under higher than normal stress. The reason for the patient having colds is because of
1. cortisol suppressing the immune system and decreasing T and B cell response. 2. an inadequate intake of nutrients during periods of stress. 3. lack of rest and sleep. 4. an increase in T and B cell production leading to an autoimmune response.
Three requirements for successful teams are:
a. conducive physical, social, and political environment. b. compatible members, environment, and goals. c. creative environment, like disciplines, and socialization. d. compliant administration, political environment, and status.
An older adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?
a. Notify the physician immediately to rule out cranial nerve damage. b. Perform testing on the vestibulocochlear nerve and a hearing test. c. Schedule the patient for an appointment at a smell and taste disorders clinic. d. Explain to the patient that diminished senses are normal findings.