NUR 211 Test 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
- 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
- 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 monitor for hypocalcemia cardiac monitor fluids FVE
- 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 1 / 3
current meds alcohol intake
- 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 other symptoms might be present?
Answer heart issues weakness increased heart rate paresthesias vomiting muscle cramps
- 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 laboratory and diagnostic tests might be ordered for this client?
Answer
CNP EKG
- 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 type of medical interventions would the nurse expect this client to receive?
Answer heart monitor
K+ via IV infused SLOWLY
- 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 information will be provided for this client by the nurse before being dis- charged and what are the most effective teaching methods for this client?
Answer eat dairy products & red meats
avoid alcohol K+ supplements
- / 3
- 45-year-old construction company owner was brought from work to the ER reporting
dizziness, nausea, weakness, abdominal cramps and headache. During the admission assessment the following information was obtained.-Onset of symptoms occurred 3 days ago but were mild until today when client stated he "almost fell off a building at work" -Previously diagnosed with hypertension 6 weeks ago -Has been following a low-sodium diet and had been taking hydrochlorothiazide as directed since being diagnosed 6 weeks ago
What does the initial data provided by the client suggest?
Answer hyponatremia due to diuretic use
low sodium diet works outside = salt loss in sweat
- 45-year-old construction company owner was brought from work to the ER reporting
dizziness, nausea, weakness, abdominal cramps and headache. During the admission assessment the following information was obtained.-Onset of symptoms occurred 3 days ago but were mild until today when client
stated he "almost fell off a building at work" -Previously diagnosed with hypertension 6 weeks ago -Has been following a low-sodium diet and had been taking hydrochlorothiazide as directed since being diagnosed 6 weeks ago
What questions will you ask of the client prior to performing your physical assessment?
Answer current meds
diet I&O taking meds correctly have you had these symptoms thirst level (diabetes insipidus/SIADH)
- 45-year-old construction company owner was brought from work to the ER reporting
- / 3
dizziness, nausea, weakness, abdominal cramps and headache. During the admission assessment the following information was obtained.-Onset of symptoms occurred 3 days ago but were mild until today when client stated he "almost fell off a building at work" -Previously diagnosed with hypertension 6 weeks ago -Has been following a low-sodium diet and had been taking hydrochlorothiazide as directed