Podcast
Questions and Answers
What is the expected timeframe for a colostomy to begin functioning after an abdominal perineal resection?
What is the expected timeframe for a colostomy to begin functioning after an abdominal perineal resection?
- 72 hours (correct)
- 5 days
- 24 hours
- 1 week
Which nursing action indicates the return of peristalsis in a client with a colostomy?
Which nursing action indicates the return of peristalsis in a client with a colostomy?
- Checking for absence of flatus
- Assessing for bloody drainage
- Administering oral intake immediately
- Listening for bowel sounds (correct)
What should a nurse do if bowel sounds are absent in a client with a colostomy after surgery?
What should a nurse do if bowel sounds are absent in a client with a colostomy after surgery?
- Increase the rate of IV fluids
- Immediately offer the client solid foods
- Discontinue all medications
- Notify the healthcare provider (correct)
Which of the following is NOT an expected finding in a client with a colostomy beginning to function?
Which of the following is NOT an expected finding in a client with a colostomy beginning to function?
In clients with cancer of the bladder, which symptom is most commonly observed?
In clients with cancer of the bladder, which symptom is most commonly observed?
What is the appropriate dietary management for a client with a newly functional colostomy?
What is the appropriate dietary management for a client with a newly functional colostomy?
What is a specific laboratory result that the nurse would expect to note in a client diagnosed with multiple myeloma?
What is a specific laboratory result that the nurse would expect to note in a client diagnosed with multiple myeloma?
Which intervention should the nurse prioritize in the care plan for a client with multiple myeloma?
Which intervention should the nurse prioritize in the care plan for a client with multiple myeloma?
What is a principle that the nurse should observe when caring for a client with cervical cancer with an internal radiation implant?
What is a principle that the nurse should observe when caring for a client with cervical cancer with an internal radiation implant?
If a nurse finds an internal cervical radiation implant in the bed of a client with cervical cancer, what should be the initial action?
If a nurse finds an internal cervical radiation implant in the bed of a client with cervical cancer, what should be the initial action?
What is a key observation that the nurse should make when caring for a client with an internal radiation implant?
What is a key observation that the nurse should make when caring for a client with an internal radiation implant?
When caring for a client with cervical cancer and an internal radiation implant, what is crucial for the nurse to remember regarding pregnant individuals?
When caring for a client with cervical cancer and an internal radiation implant, what is crucial for the nurse to remember regarding pregnant individuals?
What are the findings indicative of multiple myeloma?
What are the findings indicative of multiple myeloma?
Why is hypercalcemia a priority concern in a client with multiple myeloma?
Why is hypercalcemia a priority concern in a client with multiple myeloma?
What is the recommended daily fluid intake to maintain urine output in a client with multiple myeloma?
What is the recommended daily fluid intake to maintain urine output in a client with multiple myeloma?
Which laboratory finding is NOT specifically related to multiple myeloma?
Which laboratory finding is NOT specifically related to multiple myeloma?
What is the main cause of hypercalcemia in multiple myeloma?
What is the main cause of hypercalcemia in multiple myeloma?
In what health problem does cellular regulation play a significant role?
In what health problem does cellular regulation play a significant role?
What is the primary purpose of using fluid in managing calcium overload?
What is the primary purpose of using fluid in managing calcium overload?
What is the recommended time for a nurse to spend in the room of a client with an internal radiation implant per shift?
What is the recommended time for a nurse to spend in the room of a client with an internal radiation implant per shift?
Why should a client with an internal radiation implant be placed in a private room with a private bath?
Why should a client with an internal radiation implant be placed in a private room with a private bath?
What protective measure can be used to reduce the transmission of radiation in a client with an internal radiation implant?
What protective measure can be used to reduce the transmission of radiation in a client with an internal radiation implant?
Who is not allowed in the room of a client with an internal radiation implant?
Who is not allowed in the room of a client with an internal radiation implant?
In a client with an internal radiation implant, why should a dosimeter film badge be worn when in the client’s room?
In a client with an internal radiation implant, why should a dosimeter film badge be worn when in the client’s room?
What laboratory findings are expected in clients with iron-deficiency anemia?
What laboratory findings are expected in clients with iron-deficiency anemia?
Why is iron in liquid form mentioned in the text?
Why is iron in liquid form mentioned in the text?
Which of the following concepts is the priority in managing iron-deficiency anemia?
Which of the following concepts is the priority in managing iron-deficiency anemia?
What are characteristic features of red blood cells in iron-deficiency anemia?
What are characteristic features of red blood cells in iron-deficiency anemia?
Why is it essential to focus on laboratory findings in clients with anemia?
Why is it essential to focus on laboratory findings in clients with 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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Test your knowledge with practice questions related to cellular regulation in multiple myeloma. Explore laboratory results, priority interventions, and more.
