A patient with multiple myeloma calls the home health nurse complaining of severe back pain of new onset. The appropriate response by the nurse is to do which of the following?
Inquire about the patient's use of NSAIDs and analgesics to manage pain.
Reassure the patient that bone pain is expected with this disease.
Suggest the use of a back brace to reduce pain.
Notify the healthcare provider of the onset of new pain.
The Correct Answer is D
Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.
Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.
Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.
Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This description is too clinical and not the simplest explanation.
Choice B reason: This statement is medically accurate but not the most simplistic description.
Choice C reason: Comparing Crohn's disease to a second-degree burn is not accurate as it does not only affect the colon and rectum.
Choice D reason: Describing Crohn's disease as having the appearance of a patchwork quilt with some areas clear and some with sores provides a simple visual that is easy to understand without medical knowledge.
Correct Answer is D
Explanation
Choice A reason: An INR of 0.9 is within the normal range (0.8-1.2) and does not support the presence of bruising or bleeding disorders.
Choice B reason: A hematocrit level of 28% is below the normal range (36%-50% for women, 40%-54% for men), indicating anemia, but it does not directly explain bruising or petechiae.
Choice C reason: A WBC count of 4500 is within the normal range (4500-11000), suggesting that there is no active infection or leukocytosis that would explain the bruising.
Choice D reason: A platelet count of 60000 is below the normal range (150000-450000), which can lead to easy bruising and petechiae, supporting the nurse's observation.
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