29 Questions
What is the expected timeframe for a colostomy to begin functioning after an abdominal perineal resection?
72 hours
Which nursing action indicates the return of peristalsis in a client with a colostomy?
Listening for bowel sounds
What should a nurse do if bowel sounds are absent in a client with a colostomy after surgery?
Notify the healthcare provider
Which of the following is NOT an expected finding in a client with a colostomy beginning to function?
Bloody drainage
In clients with cancer of the bladder, which symptom is most commonly observed?
Hematuria
What is the appropriate dietary management for a client with a newly functional colostomy?
Low-residue diet until stable
What is a specific laboratory result that the nurse would expect to note in a client diagnosed with multiple myeloma?
Increased calcium level
Which intervention should the nurse prioritize in the care plan for a client with multiple myeloma?
Providing frequent oral care
What is a principle that the nurse should observe when caring for a client with cervical cancer with an internal radiation implant?
Keeping the dosimeter film badge on when entering the room
If a nurse finds an internal cervical radiation implant in the bed of a client with cervical cancer, what should be the initial action?
Call the primary health care provider (PHCP)
What is a key observation that the nurse should make when caring for a client with an internal radiation implant?
Ensuring all staff wear lead shields at all times
When caring for a client with cervical cancer and an internal radiation implant, what is crucial for the nurse to remember regarding pregnant individuals?
Keeping pregnant persons out of the client's room
What are the findings indicative of multiple myeloma?
Elevated white blood cell count
Why is hypercalcemia a priority concern in a client with multiple myeloma?
It is caused by bone destruction
What is the recommended daily fluid intake to maintain urine output in a client with multiple myeloma?
2 L/day
Which laboratory finding is NOT specifically related to multiple myeloma?
Elevated white blood cell count
What is the main cause of hypercalcemia in multiple myeloma?
Release of calcium from deteriorating bone tissue
In what health problem does cellular regulation play a significant role?
Cancers like multiple myeloma
What is the primary purpose of using fluid in managing calcium overload?
To prevent protein precipitation in the renal tubules
What is the recommended time for a nurse to spend in the room of a client with an internal radiation implant per shift?
15 minutes
Why should a client with an internal radiation implant be placed in a private room with a private bath?
To reduce the transmission of radiation
What protective measure can be used to reduce the transmission of radiation in a client with an internal radiation implant?
Using lead shielding
Who is not allowed in the room of a client with an internal radiation implant?
Children younger than 16 years of age
In a client with an internal radiation implant, why should a dosimeter film badge be worn when in the client’s room?
To measure exposure to radiation
What laboratory findings are expected in clients with iron-deficiency anemia?
Decreased hemoglobin and microcytic red blood cells
Why is iron in liquid form mentioned in the text?
To highlight the staining effect of liquid iron on teeth
Which of the following concepts is the priority in managing iron-deficiency anemia?
Patient education on iron supplementation
What are characteristic features of red blood cells in iron-deficiency anemia?
Microcytic and hypochromic
Why is it essential to focus on laboratory findings in clients with anemia?
To determine the cause of anemia
Study Notes
Multiple Myeloma
- Increased calcium level in the blood is a characteristic of multiple myeloma due to the release of calcium from deteriorating bone tissue
- Anemia is a common finding in clients with multiple myeloma
- Elevated blood urea nitrogen level is also a characteristic of multiple myeloma
- Proliferation of plasma cells in the bone marrow is a hallmark of multiple myeloma
Client Care for Multiple Myeloma
- Administering fluids in adequate amounts to maintain a urine output of 1.5 to 2 L/day is a priority in managing hypercalcemia
- Fluid intake of approximately 3 L/day is required to achieve the desired urine output
Radiation Precautions for Cervical Cancer
- Limiting time spent in the client's room to 30 minutes per shift is a radiation precaution
- Placing the client in a private room with a private bath is necessary
- Wearing a lead shield when providing direct client care is required
- Pregnant individuals and children younger than 16 years old are not allowed in the client's room
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