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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. During cold weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.
B. Before menstruation begins: Manifestations of fibrocystic breast disease, such as breast pain and lumpiness, tend to occur or worsen in the premenstrual phase of the menstrual cycle.
C. After menstruation ends: Manifestations of fibrocystic breast disease are typically most prominent before menstruation rather than after it ends.
D. During hot weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.
Correct Answer is A
Explanation
A. Hemophilia A: Hemophilia A is caused by a deficiency of factor VIII, leading to problems with blood clotting.
B. Hemophilia B: Hemophilia B is caused by a deficiency of factor IX, not factor VIII.
C. Christmas disease: Christmas disease is another name for Hemophilia B, which is caused by a deficiency of factor IX.
D. Sickle cell disease: Sickle cell disease is a genetic disorder affecting hemoglobin, not a clotting factor deficiency.
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