Cellular Regulation Saunders Practice Questions Quiz use this EX 2 ms1
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Questions and Answers

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?

  • 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?

  • 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?

    <p>Bloody drainage</p> Signup and view all the answers

    In clients with cancer of the bladder, which symptom is most commonly observed?

    <p>Hematuria</p> Signup and view all the answers

    What is the appropriate dietary management for a client with a newly functional colostomy?

    <p>Low-residue diet until stable</p> Signup and view all the answers

    What is a specific laboratory result that the nurse would expect to note in a client diagnosed with multiple myeloma?

    <p>Increased calcium level</p> Signup and view all the answers

    Which intervention should the nurse prioritize in the care plan for a client with multiple myeloma?

    <p>Providing frequent oral care</p> Signup and view all the answers

    What is a principle that the nurse should observe when caring for a client with cervical cancer with an internal radiation implant?

    <p>Keeping the dosimeter film badge on when entering the room</p> Signup and view all the answers

    If a nurse finds an internal cervical radiation implant in the bed of a client with cervical cancer, what should be the initial action?

    <p>Call the primary health care provider (PHCP)</p> Signup and view all the answers

    What is a key observation that the nurse should make when caring for a client with an internal radiation implant?

    <p>Ensuring all staff wear lead shields at all times</p> Signup and view all the answers

    When caring for a client with cervical cancer and an internal radiation implant, what is crucial for the nurse to remember regarding pregnant individuals?

    <p>Keeping pregnant persons out of the client's room</p> Signup and view all the answers

    What are the findings indicative of multiple myeloma?

    <p>Elevated white blood cell count</p> Signup and view all the answers

    Why is hypercalcemia a priority concern in a client with multiple myeloma?

    <p>It is caused by bone destruction</p> Signup and view all the answers

    What is the recommended daily fluid intake to maintain urine output in a client with multiple myeloma?

    <p>2 L/day</p> Signup and view all the answers

    Which laboratory finding is NOT specifically related to multiple myeloma?

    <p>Elevated white blood cell count</p> Signup and view all the answers

    What is the main cause of hypercalcemia in multiple myeloma?

    <p>Release of calcium from deteriorating bone tissue</p> Signup and view all the answers

    In what health problem does cellular regulation play a significant role?

    <p>Cancers like multiple myeloma</p> Signup and view all the answers

    What is the primary purpose of using fluid in managing calcium overload?

    <p>To prevent protein precipitation in the renal tubules</p> Signup and view all the answers

    What is the recommended time for a nurse to spend in the room of a client with an internal radiation implant per shift?

    <p>15 minutes</p> Signup and view all the answers

    Why should a client with an internal radiation implant be placed in a private room with a private bath?

    <p>To reduce the transmission of radiation</p> Signup and view all the answers

    What protective measure can be used to reduce the transmission of radiation in a client with an internal radiation implant?

    <p>Using lead shielding</p> Signup and view all the answers

    Who is not allowed in the room of a client with an internal radiation implant?

    <p>Children younger than 16 years of age</p> Signup and view all the answers

    In a client with an internal radiation implant, why should a dosimeter film badge be worn when in the client’s room?

    <p>To measure exposure to radiation</p> Signup and view all the answers

    What laboratory findings are expected in clients with iron-deficiency anemia?

    <p>Decreased hemoglobin and microcytic red blood cells</p> Signup and view all the answers

    Why is iron in liquid form mentioned in the text?

    <p>To highlight the staining effect of liquid iron on teeth</p> Signup and view all the answers

    Which of the following concepts is the priority in managing iron-deficiency anemia?

    <p>Patient education on iron supplementation</p> Signup and view all the answers

    What are characteristic features of red blood cells in iron-deficiency anemia?

    <p>Microcytic and hypochromic</p> Signup and view all the answers

    Why is it essential to focus on laboratory findings in clients with anemia?

    <p>To determine the cause of anemia</p> Signup and view all the answers

    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.

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