In caring for a patient with multiple myeloma, what should the nurse include in the daily care?
a. Provisions for limiting fluid intake to less than 1000 mL/day
b. Provisions for close supervision and assistance when ambulating
c. Provisions for straining all urine
d. Provisions for limiting use of an analgesic
ANS: B
Because of the constant threat of pathologic fractures, ambulation should be carefully supervised and assisted. Uric acid is increased and may crystalize in the kidney, but straining is not necessary. Analgesia is necessary for relief of bone pain.
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