The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

Fatigue

Unsteady gait

Back pain

Dyspnea on exertion

Answer and Explanation

The Correct Answer is B

A.   Fatigue is a common symptom in patients with multiple myeloma but may not directly impact safety in the home environment as much as other factors.
B.   An unsteady gait can increase the risk of falls and injuries, making it a priority for safety considerations in the home environment.
C.   Back pain is common in multiple myeloma but may not directly affect safety in the home environment unless it significantly impairs mobility.

D.   Dyspnea on exertion may limit physical activity but may not pose an immediate safety risk in the home environment unless it indicates a severe respiratory compromise.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

A. auscultate the right brachial pulse B. palpate for thrill over the right arm fistula C. measure the blood pressure in the right arm D. auscultate the right radial pulse E. auscultate bruit over the right arm fistula F. palpate the right radial pulse

Correct Answer is ["B","E"]

Explanation

A. Auscultating the brachial pulse is not typically used to assess the patency of an arteriovenous fistula.
B. A thrill is a vibration felt over an arteriovenous fistula or graft and indicates proper blood flow. Palpation for thrill is a standard method to assess fistula patency.
C. Blood pressure measurement does not directly assess the patency of an arteriovenous fistula.
D. Auscultating the radial pulse is not typically used to assess the patency of an arteriovenous fistula.
E. A bruit is a swooshing sound heard over an arteriovenous fistula or graft and indicates turbulent blood flow. Auscultating for bruit is another method to assess fistula patency.
F. Palpate the right radial pulse: Palpating the radial pulse is not typically used to assess the patency of an arteriovenous fistula.

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The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Correct Answer is C

Explanation

The nurse is checking the patency of a new right arm arteriovenous fistula. What action does the nurse use to do this? Select all that apply

Correct Answer is ["B","E"]

Explanation

The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?

The nurse prepares to document an electrocardiogram rhythm. The nurse uses a systematic method for analyzing the electrocardiogram tracing for which of the following reasons

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