NCLX RN Practice Question # 329
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1. Question
The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?
CorrectAnswer & Rationale:
Option 1 is Correct
Rationale: Hypercalcemia caused by bone destruction is a priority concern in the client with multiple myeloma. The nurse should administer fluids in adequate amounts to maintain a urine output of 1.5 to 2 L/day; this requires about 3 L of fluid intake per day. The fluid is needed not only to dilute the calcium overload but also to prevent protein from precipitating in the renal tubules. Options 2, 3, and 4 may be components of the plan of care but are not the priority in this client.
Test-Taking Strategy: Use the process of elimination. Recalling the pathophysiology of this disorder and that hypercalcemia can occur will direct you to option 1. Review the specific manifestations of this disorder if you had difficulty with this question.
IncorrectAnswer & Rationale:
Option 1 is Correct
Rationale: Hypercalcemia caused by bone destruction is a priority concern in the client with multiple myeloma. The nurse should administer fluids in adequate amounts to maintain a urine output of 1.5 to 2 L/day; this requires about 3 L of fluid intake per day. The fluid is needed not only to dilute the calcium overload but also to prevent protein from precipitating in the renal tubules. Options 2, 3, and 4 may be components of the plan of care but are not the priority in this client.
Test-Taking Strategy: Use the process of elimination. Recalling the pathophysiology of this disorder and that hypercalcemia can occur will direct you to option 1. Review the specific manifestations of this disorder if you had difficulty with this question.
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