Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
a. Serum calcium level is 15 mg/dL.
b. Patient reports no stool for 5 days.
c. Urine sample has Bence-Jones protein.
d. Patient is complaining of severe back pain.
ANS: A
Hypercalcemia may lead to complications such as dysrhythmias or seizures, and should be addressed quickly. The other patient findings will also be discussed with the health care provider, but are not life threatening.
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The population health nurse is working with a young adult female who admits to being severely abused as a child. The teaching that would be most appropriate initially is about:
1. The results of risky sexual behavior. 2. The possibility of her becoming a child abuser. 3. General hygiene needs. 4. General coping skills.
The nurse is concerned that a hospitalized client is experiencing sensory overload. What did the nurse assess to come to this conclusion?
1. Sleeplessness 2. Anxiety 3. Apathy 4. Racing thoughts 5. Somatic complaints
A person's 24-hour intake was 1500 mL. You know that this amount:
a. Meets normal requirements b. Is below normal requirements c. Is above normal requirements d. Was ordered by the doctor
A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most assertive?
a. "I think you've had a hard day." b. "I feel uncomfortable hearing that statement." c. "I don't think you should say things like that. It is not right." d. "I have been checking on you regularly. How can you say that?"