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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Menopause is the cessation of menstruation and marks the end of the reproductive years.
B. Menarche is the onset of menstruation and does not describe a phase of the menstrual cycle.
C. The follicular phase begins at the end of menses and ends at ovulation. During this phase, follicles in the ovaries mature, and one dominant follicle is selected for ovulation.
D. The luteal phase follows ovulation and ends with the start of menses. During this phase, the ruptured follicle transforms into the corpus luteum, which secretes progesterone to prepare the uterus for potential implantation of a fertilized egg.
Correct Answer is D
Explanation
A. Clay: Individuals with pica due to iron-deficiency anemia may crave and consume substances like clay.
B. Soil: Soil consumption is another manifestation of pica commonly seen in individuals with iron-deficiency anemia.
C. Ice: Some individuals with iron-deficiency anemia may crave and chew ice as a form of pica behavior.
D. Any of the responses: Pica is a condition where individuals have cravings for nonfood substances. In iron-deficiency anemia, pica can manifest as cravings for various nonfood items, including clay, soil, ice, and many others.
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