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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: A healthy stoma should be beefy red and moist, indicating good blood supply and hydration.

Choice B reason: A dusky maroon color could indicate compromised blood supply or ischemia.

Choice C reason: A pale and pink stoma may suggest anemia or reduced blood ﬂow.

Choice D reason: A stoma that is pink and dry could be dehydrated, which is not ideal.

A. Ask about numbness or tingling of the hands and arms. B. Suggest the patient alternate use of heat and cold to the neck. C. Provide information about therapeutic neck exercises. D. Teach about the use of nonsteroidal anti-inﬂammatory drugs (NSAIDs).

Correct Answer is A

Explanation

Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.

Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.

Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.

Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

Explanation

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