Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

Urine sample has Bence-Jones protein.

Patient is complaining of severe back pain.

Serum calcium level is 15 mg/dL.

Patient reports no stool for 5 days.

Answer and Explanation

The Correct Answer is C

A.   Presence of Bence-Jones protein in the urine is indicative of multiple myeloma, but hypercalcemia is a more urgent issue to address.
B.   Severe back pain is common in multiple myeloma due to bone involvement, but it is not as immediately life-threatening as hypercalcemia.
C.   Elevated serum calcium levels (hypercalcemia) are a common complication of multiple myeloma and can lead to various complications, including kidney damage, altered mental status, and cardiac arrhythmias. Therefore, it is crucial to report significantly elevated serum calcium levels promptly to the health care provider for appropriate management.
D.   Patient reports no stool for 5 days may indicate constipation, which is important to address but is not as urgent as hypercalcemia in the context of multiple myeloma.

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Correct Answer is C

No explanation

A. "Do you sleep well at night?" B. "Have you experienced increased hair growth?" C. "Have you been experiencing chills?" D. "When did you begin your menses?"

Correct Answer is A

Explanation

A. "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B. "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C. "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D. "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.

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Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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