When caring for a patient with advanced multiple myeloma, the nursing staff must exercise extreme care to prevent which complication?
a. Pain
b. Hematomas
c. Muscle spasms
d. Pathologic fractures
D
Pathologic fractures of osteoporotic bones are an ongoing concern in the patient with multiple myeloma.
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A woman who delivered her infant one week ago calls the clinic to complain of pain with urination and increased frequency. What response by the nurse is appropriate?
A) "This is normal, give it a few days and then call back." B) "After delivery it is easier to develop an infection in the urinary system, we need to see you today." C) "Are you washing and providing good perineal hygiene? If not, this may be the reason for the irritation." D) "It is common for women to have yeast problems, try an over-the-counter cream and let us know if this continues."
A researcher wishes to conduct a correlational study to determine whether there is a relationship between stress levels and relapse rates among patients who have chronic conditions
a. manipulate the level of stress in study subjects. b. obtain a large range of possible scores. c. provide lengthy descriptions of subjects' behaviors. d. randomly assign subjects to study groups.
A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, "I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up." The nurse will:
a. limit the patient's activities to those that can be performed in a sitting position. b. withhold the drug, force oral fluids, and notify the health care provider. c. teach the patient strategies to manage postural hypotension. d. update the patient's mental status examination.
The nurse notices that the ST segment is depressed on a patient brought into the emergency department reporting chest pain. What action should the nurse take?
a. Continue to monitor the electrocardiogram (ECG) to determine if ST segment depression continues. b. Alert the supervising RN and patient's physician immediately. c. Auscultate chest sounds, and continue physical assessment. d. Review the ECG recordings in the patient's chart.