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Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

A.

Urine sample has Bence-Jones protein.

B.

Patient is complaining of severe back pain.

C.

Serum calcium level is 15 mg/dL.

D.

Patient reports no stool for 5 days.

Answer and Explanation

The Correct Answer is C

A.    Presence of Bence-Jones protein in the urine is indicative of multiple myeloma, but hypercalcemia is a more urgent issue to address.
B.    Severe back pain is common in multiple myeloma due to bone involvement, but it is not as immediately life-threatening as hypercalcemia.
C.    Elevated serum calcium levels (hypercalcemia) are a common complication of multiple myeloma and can lead to various complications, including kidney damage, altered mental status, and cardiac arrhythmias. Therefore, it is crucial to report significantly elevated serum calcium levels promptly to the health care provider for appropriate management.
D.    Patient reports no stool for 5 days may indicate constipation, which is important to address but is not as urgent as hypercalcemia in the context of multiple myeloma.
 


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Related Questions

Correct Answer is ["A","B","C"]

Explanation

A. "In some types, HPV will go away on its own and does not cause health issues.": This is
important information to include as it reassures individuals that not all HPV infections lead to health problems.
B. "Some forms of HPV can lead to cervical cancer.": It is crucial to educate young adults about the link between certain types of HPV and the development of cervical cancer.
C. "HPV is most commonly spread during vaginal or anal sexual contact.": Providing information about how HPV is transmitted helps individuals understand how to reduce their risk of infection.
D. "You cannot get HPV if you have had only 1 sex partner.": This statement is HPV can be transmitted through sexual contact, including with only one sexual partner.
E. "There are no vaccinations or treatments available against HPV and its symptoms.": This statement is There are vaccinations available to protect against certain types of HPV, and treatments are available for HPV-related health issues such as genital warts and cervical abnormalities.

Correct Answer is B

Explanation

A. Elevated blood pressure above 140/90. While hypertension can occur in middle age, it is not specifically associated with perimenopause.
B. Report of dryness with vaginal intercourse. Vaginal dryness is a common symptom of perimenopause due to decreasing estrogen levels.
C. Report of urinary retention. Urinary symptoms in perimenopause more commonly include frequency and urgency, rather than retention.
D. Elevated body temperature above 37.8° C (100° F). While hot flashes are common during perimenopause, they do not typically cause a sustained elevated body temperature.

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