A patient with multiple myeloma develops hypercalcemia. Which intervention can help minimize complications related to hypercalcemia?

Apply heat to painful areas.

Place the patient on bedrest.

Have the patient cough and deep breathe every 2 hours.

Encourage 3 to 4 liters of fluid daily.

Answer and Explanation

The Correct Answer is D

A.   Heat application may provide comfort for localized pain but does not address the underlying cause of hypercalcemia, which requires systemic management.
B.   While rest may be beneficial for certain conditions, it does not directly address hypercalcemia. Encouraging mobility and adequate fluid intake is typically more effective.
C.   Coughing and deep breathing exercises are important for preventing respiratory complications after surgery but are not relevant for managing hypercalcemia.
D.   Increasing fluid intake promotes hydration and enhances urinary calcium excretion, helping to lower serum calcium levels and minimize complications associated with hypercalcemia

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

Explanation

A. Painless lymphadenopathy, especially in the cervical, supraclavicular, or mediastinal areas, is a hallmark feature of Hodgkin lymphoma, reflecting the disease's characteristic pattern of lymph node involvement.
B. Pruritis can occur in Hodgkin lymphoma, and can either be focal or generalized.

C. Generalized feelings of discomfort, fatigue, or unease are common in Hodgkin lymphoma due to the effects of the disease on the immune system, as well as potential systemic symptoms such as fever, night sweats, and weight loss.
D. While cough can occur in advanced stages of Hodgkin lymphoma, it is not a defining clinical manifestation and is more commonly associated with respiratory infections or complications.

E. Fever is one of the B symptoms which are associated with Hodgkin Lymphoma.

However, the fever is often low-grade and can be associated with Pel-Ebstein fever which is intermittent fever periods with high temperature followed by afebrile periods.

A. Atrial flutter B. Ventricular tachycardia C. Atrial fibrillation D. Sinus tachycardia

Correct Answer is A

Explanation

A. Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B. Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C. Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D. Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.

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A patient with multiple myeloma develops hypercalcemia. Which intervention can help minimize complications related to hypercalcemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

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

Explanation

The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Correct Answer is A

Explanation

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A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

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