The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)

Increase and vary fluid intake

Take an antipyretic such as aspirin every morning

Use fragrance free gel soap to bathe

Use analgesics as needed

Install grab bars in the shower to prevent falls

Answer and Explanation

Correct Answer : A,C,D,E

A.   Multiple myeloma can lead to dehydration and kidney problems. Increasing fluid intake helps to prevent these complications and can also help to reduce the risk of infections.
B.   This statement is incorrect. Aspirin should not be taken unless prescribed by a doctor. It can increase the risk of bleeding in people with multiple myeloma.
C.   Multiple myeloma can weaken the immune system, making the client more susceptible to infections. Using fragrance-free gel soap can help to reduce the risk of skin irritation and infections.
D.   Multiple myeloma can cause bone pain. Using analgesics as needed can help to manage this pain and improve the client's quality of life.
E.   Multiple myeloma can weaken bones, increasing the risk of fractures. Installing grab bars in the shower can help to prevent falls and reduce the risk of injuries.

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Correct Answer is B

Explanation

A. A negative output would imply that the client has produced less urine than the irrigation received, which is not the case here.
B. The true urine output is 675 mL, calculated by subtracting the irrigation amount from the total urine collected.
C. The calculation does not support this value, as it does not accurately reflect the total urine output after accounting for the irrigation.
D. Similar to option A, a negative value does not apply here since the urine output exceeds the irrigation amount.

A. ask simple yes or no questions. B. develop a list of simple words that the client can read and practice saying. C. track the amount of time the client uses to speak. D. change the subject if the client does not respond in a timely manner.

Correct Answer is A

Explanation

A. Asking yes or no questions can help facilitate communication, as they require less verbal output from the client and can help the nurse understand the client’s needs or thoughts without overwhelming them
B. This option is somewhat useful, as practicing words can help the client regain some verbal skills. However, it may not be the most effective immediate intervention. Clients with expressive aphasia often struggle to produce speech rather than understand it, and they may not benefit as much from this approach without additional support from speech therapy.
C. This intervention is not beneficial for improving communication. Tracking time spent speaking could create additional pressure on the client and may contribute to frustration rather than facilitate communication. It does not address the underlying issue of expressive aphasia.
D. This is not an appropriate intervention. Changing the subject can confuse or frustrate the client further, making it more difficult for them to communicate. It does not support their efforts to express themselves and may discourage them from trying to communicate altogether.

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The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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