Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?

Monitor fluid intake and output.

Limit weight bearing and ambulation.

Assess lymph nodes for enlargement.

Administer calcium supplements.

Answer and Explanation

The Correct Answer is A

A.   Monitor fluid intake and output. Monitoring fluid intake and output is essential in patients with multiple myeloma to assess for signs of dehydration or fluid overload, which can occur due to renal complications.
B.   Limit weight bearing and ambulation. Limiting weight bearing and ambulation is not a
standard intervention for multiple myeloma unless there are specific complications such as bone fractures.
C.   Assess lymph nodes for enlargement. Multiple myeloma primarily affects the bone marrow and plasma cells, not the lymph nodes.
D.   Administer calcium supplements. While calcium supplementation may be necessary in some cases of multiple myeloma, it is not a priority action upon admission without further assessment.

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Correct Answer is B

Explanation

A. Tamoxifen: Tamoxifen is primarily used in the treatment of breast cancer, not prostate cancer.
B. Leuprolide: Leuprolide is a gonadotropin-releasing hormone (GnRH) agonist commonly used in the treatment of advanced prostate cancer to reduce testosterone levels, slowing the growth of cancer cells.
C. Cyclophosphamide: Cyclophosphamide is a chemotherapy drug used to treat various types of cancer but is not commonly used specifically for prostate cancer.
D. Finasteride: Finasteride is a 5-alpha-reductase inhibitor used to treat benign prostatic hyperplasia (BPH) and male pattern baldness but is not typically used in the treatment of advanced prostate cancer.

A. Explain disease course and expected signs and symptoms to the family. B. Check peripheral pulses, color, and temperature of extremities every 30 hours. C. Reposition the client, paying close attention to proper body alignment. D. Provide active range of motion (ROM) every 2 hours.

Correct Answer is C

Explanation

A. Explain disease course and expected signs and symptoms to the family. While education is essential, it is not directly related to addressing the acute pain associated with thrombotic crisis.
B. Check peripheral pulses, color, and temperature of extremities every 30 hours. This intervention is important for assessing peripheral perfusion but may not directly address the acute pain associated with thrombotic crisis.
C. Reposition the client, paying close attention to proper body alignment. Repositioning the client to ensure proper body alignment can help alleviate pressure points and discomfort associated with thrombotic crisis.

D. Provide active range of motion (ROM) every 2 hours. While ROM exercises are important for preventing complications such as joint stiffness, they may not directly address the acute pain associated with thrombotic crisis.

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Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?

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