A nurse is planning the care of a patient who has been admitted to the medical unit with a diagnosis of multiple myeloma. In the patient's care plan, the nurse has identified a diagnosis of Risk for Injury. What pathophysiologic effect of multiple myeloma most contributes to this risk?
A) Labyrinthitis
B) Left ventricular hypertrophy
C) Decreased bone density
D) Hypercoagulation
Ans: C
Feedback:
Clients with multiple myeloma are at risk for pathologic bone fractures secondary to diffuse osteoporosis and osteolytic lesions. Labyrinthitis is uncharacteristic, and patients do not normally experience hypercoagulation or cardiac hypertrophy.
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The nurse plots growth for a 3-month-old baby of Chinese descent, and notes that the infant is below recommended weight and height. The nurse expects that the physician will recommend which of the following to the mother?
1. Increase calories in the formula. 2. Feed the child more frequently. 3. Wake the child at night to increase calories. 4. Continue the current feeding regimen.
During the 7th month of pregnancy, a woman notices a yellowish discharge from her nipple. The best explanation for this discharge is:
A) An infection is present. B) This is witch's milk, caused by elevated estrogen levels. C) This is breast milk, and delivery is imminent. D) Colostrum is secreted in preparation for milk production.
The current goal of treatment for a patient with HIV infection is which of the following?
a. Viral suppression of HIV to undetectable levels in the peripheral blood b. Compete eradication of the virus c. Encouraging the person to have no contact with uninfected individuals d. Complete abstinence
The nurse is preparing to document the findings of an assessment. Which concepts should the nurse's documentation reflect? Select all that apply.
A. Primary and secondary data. B. Agency policy. C. Standard precautions. D. Patient safety. E. Professional standards.