A patient is seen in the physician's office following several tests. The test results include elevated blood calcium, elevated alkaline phosphatase, elevated phosphorus, normal creatine kinase, and increased uptake of the radioisotope on bone scan
The nurse realizes that the patient most likely is experiencing which health problem?
1. bone spurs
2. rheumatoid arthritis
3. osteoporosis
4. bone cancer
Correct Answer: 4
The test results are a likely combination in a patient with bone cancer. The blood values described would be anticipated because the bone levels would be reduced in the presence of a malignancy. Osteoporosis would not produce the same blood value alterations. Areas of disease will demonstrate an increase in uptake of radioisotopes on the scans. X-rays would be useful in diagnosis of bone spurs. Rheumatoid factor is used to diagnose rheumatoid arthritis.
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