Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?
Monitor fluid intake and output.
Limit weight bearing and ambulation.
Assess lymph nodes for enlargement.
Administer calcium supplements.
The Correct Answer is A
A. Monitor fluid intake and output. Monitoring fluid intake and output is essential in patients with multiple myeloma to assess for signs of dehydration or fluid overload, which can occur due to renal complications.
B. Limit weight bearing and ambulation. Limiting weight bearing and ambulation is not a
standard intervention for multiple myeloma unless there are specific complications such as bone fractures.
C. Assess lymph nodes for enlargement. Multiple myeloma primarily affects the bone marrow and plasma cells, not the lymph nodes.
D. Administer calcium supplements. While calcium supplementation may be necessary in some cases of multiple myeloma, it is not a priority action upon admission without further assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F"]
Explanation
A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.
Correct Answer is E
Explanation
A. Vaginal bleeding is not a typical sign of ovulation. Vaginal bleeding occurs during menstruation, which is distinct from ovulation.
B. A slight decrease in basal body temperature may occur before ovulation, not during ovulation itself.
C. Breast tenderness can occur due to hormonal changes during the menstrual cycle, but it is not a direct indicator of ovulation.
D. Decreased sex drive is not a typical symptom of ovulation. In fact, some women may experience an increase in sex drive around ovulation.
E. Lower abdominal pain/cramping, also known as mittelschmerz, is a common symptom of ovulation. It typically occurs on one side of the lower abdomen and can help indicate the timing of ovulation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.