A patient with multiple myeloma calls the home health nurse complaining of severe back pain of new onset. The appropriate response by the nurse is to do which of the following?

Inquire about the patient's use of NSAIDs and analgesics to manage pain.

Reassure the patient that bone pain is expected with this disease.

Suggest the use of a back brace to reduce pain.

Notify the healthcare provider of the onset of new pain.

Answer and Explanation

The Correct Answer is D

Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.

Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.

Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.

Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Cluster headaches are one of the main types of primary headaches, characterized by severe, unilateral pain around the eye.

Choice B reason: Tension-type headaches are the most common type of primary headache, often described as a constant pressure or tightness.
Choice C reason: Migraine headaches are a major type of headache characterized by intense, throbbing pain, often accompanied by nausea and sensitivity to light or sound.
Choice D reason: Stress-induced headaches are not typically classified as a primary type of functional headache; they may be a trigger for other types of headaches.

A. Systolic Blood Pressure. B. Mean Arterial Blood Pressure. C. Central Venous Pressure (CVP). D. Systemic Vascular Resistance.

Correct Answer is C

Explanation

Choice A reason: Systolic Blood Pressure is not a direct measure of preload; it indicates the pressure in the arteries during the contraction of the heart muscles.

Choice B reason: Mean Arterial Blood Pressure is an average blood pressure in an individual during a single cardiac cycle, but it does not specifically measure preload.

Choice C reason: Central Venous Pressure (CVP) is a direct measure of the blood volume returning to the heart and the ability of the heart to pump the blood into the arterial system, making it a key indicator of preload.

Choice D reason: Systemic Vascular Resistance refers to the resistance to blood ﬂow oﬀered by all of the systemic vasculature, excluding the pulmonary vasculature, and is not a measure of preload.

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A patient with multiple myeloma calls the home health nurse complaining of severe back pain of new onset. The appropriate response by the nurse is to do which of the following?

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Naxlex Comprehensive Predictor Exams

Which of the following are the main types of functional headaches? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

What is the main hemodynamic parameter that measures preload?

Correct Answer is C

Explanation

A recommended position for a patient in acute pulmonary edema is:

A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)

A nurse is caring for a client who has multiple sclerosis. Which of the following factors should the nurse anticipate have been identified as contributing to the development of multiple sclerosis? (Select all that apply.)

The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

The normal PR interval is:

A nurse is developing a plan of care for an 80-year-old client who is postoperative. This client has a 38 pack-year smoking history. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?