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?

Fatigue

Unsteady gait

Back pain

Dyspnea on exertion

Answer and Explanation

The Correct Answer is B

A.   Fatigue is a common symptom in patients with multiple myeloma but may not directly impact safety in the home environment as much as other factors.
B.   An unsteady gait can increase the risk of falls and injuries, making it a priority for safety considerations in the home environment.
C.   Back pain is common in multiple myeloma but may not directly affect safety in the home environment unless it significantly impairs mobility.

D.   Dyspnea on exertion may limit physical activity but may not pose an immediate safety risk in the home environment unless it indicates a severe respiratory compromise.

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Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

A. Hodgkin lymphoma B. Multiple myeloma C. Leukemia D. Hemophilia

Correct Answer is B

Explanation

A. While bone involvement can occur in Hodgkin lymphoma, it is not typically associated with a high risk of spontaneous pathological fractures compared to multiple myeloma.
B. Multiple myeloma is characterized by the destruction of bone tissue, leading to an increased risk of spontaneous pathological fractures.
C. Leukemia primarily affects the bone marrow and may cause bone pain but does not typically lead to spontaneous pathological fractures.
D. Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors and is not directly associated with an increased risk of spontaneous pathological fractures.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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