NUR 211 Test 1

NUR 211 Test 1
1. A 54-year-old male with a diagnosis of multiple myeloma has been admitted to your unit.The
client has chief complains of increasing fatigue, muscle weakness, and bone pain. Lab work
indicates pancytopenia, hyperuricemia, hypercalcemia, and elevated creatinine. Bone scans and
X-Rays have been ordered.
What do you suspect is the cause of these signs and symptoms?
Answer
Cancer, decreased kidney function would cause a decrease in excretion of calcium
2. A 54-year-old male with a diagnosis of multiple myeloma has been admitted to your unit.The
client has chief complains of increasing fatigue, muscle weakness, and bone pain. Lab work
indicates pancytopenia, hyperuricemia, hypercalcemia, and elevated creatinine. Bone scans and
X-Rays have been ordered.
What immediate medical treatment do you anticipate and why?
Answer
Isotonic saline renal function
3. A 54-year-old male with a diagnosis of multiple myeloma has been admitted to your unit.The
client has chief complains of increasing fatigue, muscle weakness, and bone pain. Lab work
indicates pancytopenia, hyperuricemia, hypercalcemia, and elevated creatinine. Bone scans and
X-Rays have been ordered.
What are nursing interventions?
Answer
monitor vitals fall risk precautions
monitor bones
monitorfor hypocalcemia cardiac monitor
fluids FVE
4. A 68-year-old male client is admitted to the hospital with complaints of diarrhea for 3 days.
The client reports being weak and feels like his heart is racing.
What questions will the nurse ask when assessing the client's medical history?
Answer
intake
current meds alcohol intake