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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason : Smoking tobacco is the most significant risk factor for developing emphysema. It damages the air sacs in the lungs and leads to the characteristic symptoms of emphysema.
Choice B reason : While pollution can contribute to respiratory problems, it is not the most common risk factor for emphysema compared to smoking tobacco.
Choice C reason : Age between 20 to 30 years is not a risk factor for emphysema. Emphysema typically develops after many years of smoking, often in older adults.
Choice D reason : Asthma is a different respiratory condition and is not a risk factor for emphysema. However, individuals with asthma who smoke may have an increased risk of developing COPD, which includes emphysema.
Correct Answer is D
Explanation
Choice A reason: The annual pneumococcal vaccine is recommended for preventing pneumococcal disease, which can be a complication of COPD, but it is not a primary prevention method for COPD itself.
Choice B reason: Maintaining ideal weight is important for overall health but is not directly related to the prevention of COPD.
Choice C reason: The annual influenza vaccine can help prevent flu-related complications in individuals with COPD but is not a primary prevention method for COPD.
Choice D reason: Stopping or cutting back on smoking is the most effective way to prevent COPD, as smoking is the leading cause of the disease.
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