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 C
Explanation
Choice A reason: Stopping seizure medication such as phenytoin without medical advice can lead to life-threatening seizures. It is not recommended to stop after a set period of being seizure-free without consulting a healthcare provider.
Choice B reason: Phenytoin should not be taken only during periods of stress; it is intended to be used consistently to maintain therapeutic levels in the body.
Choice C reason: Phenytoin may need to be continued indefinitely, depending on the individual's condition and the doctor's recommendation. It is often used as a long-term treatment for seizure control.
Choice D reason: This statement is misleading; while phenytoin helps control seizures, it does not cure the underlying condition causing them.
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Genetics play a significant role in the development of multiple sclerosis (MS). While MS is not directly inherited, certain genetic markers can increase susceptibility. Studies have shown that individuals with a first-degree relative with MS have a higher risk compared to the general population.
Choice B reason: Environmental factors, such as low vitamin D levels, smoking, and possibly viral infections, are believed to contribute to the risk of developing MS. Geographic location, particularly living further from the equator, has also been associated with a higher incidence of MS, which may be related to sun exposure and vitamin D synthesis.
Choice C reason: While upper respiratory infections can trigger exacerbations in individuals with existing MS, they are not identified as a direct contributing factor to the development of the disease itself.
Choice D reason: MS is considered an autoimmune disorder where the immune system mistakenly attacks the central nervous system. This immune-mediated process targets the myelin sheath, leading to inflammation and characteristic lesions.
Choice E reason: Urinary tract infections are a common complication in individuals with MS due to bladder dysfunction, but they are not a contributing factor to the development of MS.
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