Nur 315- Ch.34 UPDATED ACTUAL Questions and CORRECT
Answers
1. A nurse is caring Preventing bone injury
for a client with
multiple myelo- When caring for a client with multiple myeloma, the nurse should focus on
ma. Which nurs- relieving pain, preventing bone injury and infection, and maintaining hydration.
ing intervention is Monitoring respiratory status and balancing rest and activity are appropriate
most appropriate interventions for any client. To prevent such complications as pyelonephritis and
for this client? renal calculi, the nurse should keep the client well hydrated — not restrict fluid
intake.
2. The clinic nurse A general reduction in all white blood cells
is caring for a
client diagnosed Leukopenia is a general reduction in all WBCs. Leukopenia does not have any-
with leukopenia. thing to do with erythrocytes.
What does the
nurse know this
client has?
3. Which term refers Lymphocyte
to a form of
white blood cell Both B and T lymphocytes respond to exposure to antigens. Granulocytes include
involved in im- basophils, neutrophils, and eosinophils. A spherocyte is a red blood cell without
mune response? central pallor, seen with hemolysis. A thrombocyte is a platelet.
4. What assessment Neutrophil and platelet counts within normal limits
finding best in-
dicates that the Recovery from induction therapy is indicated when the neutrophil and platelet
client has recov- counts have returned to normal and any infection has resolved. Stable vital signs,
ered from induc- lack of edema, and absence of pain are not indicative of recovery from induction
tion therapy? therapy.
5. A client with AML Assess the client's hemoglobin and platelets.
has pale mucous
membranes and Clients with AML may develop pallor from anemia and a tendency to bleed
1/7
, Nur 315- Ch.34 UPDATED ACTUAL Questions and CORRECT
Answers
bruises on the because of a low platelet count. Assessing the client's hemoglobin and platelets
legs. What is the will help to determine whether this is the cause of the symptoms. This would be
primary nursing the priority above assessing pulses, blood pressure, history, or skin.
intervention?
6. The nurse sus- Bone pain in the back of the ribs
pects that a
client has mul- Although patients can have asymptomatic bone involvement, the most common
tiple myeloma presenting symptom of multiple myeloma is bone pain, usually in the back or
based on the ribs. Unlike arthritic pain, the bone pain associated with myeloma increases with
client's major pre- movement and decreases with rest; clients may report that they have less pain on
senting symptom awakening but the pain intensity increases during the day.
and the analysis
of laboratory re-
sults. What clas-
sic symptom for
multiple myeloma
does the nurse as-
sess for?
7. A nurse plans care Hypercalcemia
for a client with Renal insuflciency
multiple myelo- Anemia
ma. Using the Bone lesions
CRAB acronym for
symptoms associ- The acronym CRAB is used to describe the combined pathologic effects of multiple
ated with this dis- myeloma and include: calcium levels elevated (hypercalcemia), renal insuflciency,
ease, which clini- anemia, bone lesions. Acidosis is not part of the acronym used to describe the
cal features does pathologic effects of the disease.
the nurse expect
to find upon as-
sessment of the
2/7
Answers
1. A nurse is caring Preventing bone injury
for a client with
multiple myelo- When caring for a client with multiple myeloma, the nurse should focus on
ma. Which nurs- relieving pain, preventing bone injury and infection, and maintaining hydration.
ing intervention is Monitoring respiratory status and balancing rest and activity are appropriate
most appropriate interventions for any client. To prevent such complications as pyelonephritis and
for this client? renal calculi, the nurse should keep the client well hydrated — not restrict fluid
intake.
2. The clinic nurse A general reduction in all white blood cells
is caring for a
client diagnosed Leukopenia is a general reduction in all WBCs. Leukopenia does not have any-
with leukopenia. thing to do with erythrocytes.
What does the
nurse know this
client has?
3. Which term refers Lymphocyte
to a form of
white blood cell Both B and T lymphocytes respond to exposure to antigens. Granulocytes include
involved in im- basophils, neutrophils, and eosinophils. A spherocyte is a red blood cell without
mune response? central pallor, seen with hemolysis. A thrombocyte is a platelet.
4. What assessment Neutrophil and platelet counts within normal limits
finding best in-
dicates that the Recovery from induction therapy is indicated when the neutrophil and platelet
client has recov- counts have returned to normal and any infection has resolved. Stable vital signs,
ered from induc- lack of edema, and absence of pain are not indicative of recovery from induction
tion therapy? therapy.
5. A client with AML Assess the client's hemoglobin and platelets.
has pale mucous
membranes and Clients with AML may develop pallor from anemia and a tendency to bleed
1/7
, Nur 315- Ch.34 UPDATED ACTUAL Questions and CORRECT
Answers
bruises on the because of a low platelet count. Assessing the client's hemoglobin and platelets
legs. What is the will help to determine whether this is the cause of the symptoms. This would be
primary nursing the priority above assessing pulses, blood pressure, history, or skin.
intervention?
6. The nurse sus- Bone pain in the back of the ribs
pects that a
client has mul- Although patients can have asymptomatic bone involvement, the most common
tiple myeloma presenting symptom of multiple myeloma is bone pain, usually in the back or
based on the ribs. Unlike arthritic pain, the bone pain associated with myeloma increases with
client's major pre- movement and decreases with rest; clients may report that they have less pain on
senting symptom awakening but the pain intensity increases during the day.
and the analysis
of laboratory re-
sults. What clas-
sic symptom for
multiple myeloma
does the nurse as-
sess for?
7. A nurse plans care Hypercalcemia
for a client with Renal insuflciency
multiple myelo- Anemia
ma. Using the Bone lesions
CRAB acronym for
symptoms associ- The acronym CRAB is used to describe the combined pathologic effects of multiple
ated with this dis- myeloma and include: calcium levels elevated (hypercalcemia), renal insuflciency,
ease, which clini- anemia, bone lesions. Acidosis is not part of the acronym used to describe the
cal features does pathologic effects of the disease.
the nurse expect
to find upon as-
sessment of the
2/7
