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 C

Explanation

A. Jaundice is typically not visible in the webbed areas of the fingers.

B. The nail beds are part of the skin that can show jaundice, but they may also be aﬀected by other factors such as anemia, cyanosis, or nail polish.
C. The hard palate is a part of the oral mucosa that can show jaundice, especially in clients with dark skin tones.
D. This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The skin can show jaundice, but it may be difficult to detect in clients with dark skin tones.

A. Painless, swollen lymph node B. Generalized pruritis C. Malaise D. Cough E. High fever

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.

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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

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?

Correct Answer is C

Explanation

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

Which of the following are characteristics of Hodgkin's disease? (Select All that Apply.)

A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Which of the following are rules for atrial fibrillation? Select all that apply

After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

A patient with dehydration will have which color of urine?

A nurse is reinforcing discharge teaching with a client who is postoperative for a traditional cholecystectomy and has a T-tube in place. Which of the following instructions should the nurse include in the teaching?