A 64-year-old African American man comes into the emergency department with a complaint of right upper arm pain. The client denies falling or any trauma to the extremity. The X-ray revealed a fracture of the right humerus. The nurse anticipates which of the following diagnosis?
End-stage renal disease
Chronic myelogenous leukemia (CML)
Rheumatoid arthritis
Multiple myeloma
The Correct Answer is D
A. End-stage renal disease: While end-stage renal disease can lead to bone weakness due to mineral imbalances, it does not directly cause fractures in the absence of trauma. This client’s fracture without any trauma is more suggestive of another condition.
B. Chronic myelogenous leukemia (CML): CML can cause bone pain but is not typically associated with spontaneous fractures, especially in the absence of trauma. This patient's fracture suggests a bone condition like multiple myeloma rather than leukemia.
C. Rheumatoid arthritis: Rheumatoid arthritis primarily affects joints and is unlikely to cause spontaneous fractures in a healthy bone. The patient’s symptoms of upper arm pain with a fracture point more toward a bone-related condition like multiple myeloma.
D. Multiple myeloma: Multiple myeloma is a cancer of the plasma cells that often leads to bone lesions and spontaneous fractures, especially in older individuals. The patient’s unexplained humeral fracture and pain without trauma fit the presentation of multiple myeloma.0
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 45: PSA screening is not typically recommended for men at average risk starting at age 45. It is usually considered for men at higher risk, such as those with a family history of prostate cancer.
B. 65: While discussions about PSA screening can occur around age 65, it is generally recommended to start earlier for men at average risk, around age 55, for better early detection.
C. 55: The American Cancer Society recommends starting discussions about PSA screening at age 55 for men at average risk of prostate cancer. This allows for informed decision-making regarding the potential benefits and risks of screening.
D. 40: Screening at age 40 is typically reserved for men at high risk, such as those with a family history of prostate cancer. For men at average risk, screening generally begins at age 55.
Correct Answer is ["25"]
Explanation
Total volume to be infused = 100 mL.
- Identify the infusion time in minutes.
Infusion time = 1 hour
= 60 minutes.
Drip factor of the piggyback tubing = 15 gtts/mL.
- Calculate the flow rate in drops per minute (gtts/min).
Flow rate (gtts/min) = (Total volume (mL) × Drip factor (gtts/mL)) / Infusion time (min)
= (100 mL × 15 gtts/mL) / 60 min
= 1500 / 60 gtts/min
= 25 gtts/min.
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