Which nursing intervention is most appropriate for a client with multiple myeloma?

Correct Answer: D

Rationale: One of the primary concerns in clients with multiple myeloma is bone damage and fractures due to weakened bones caused by the disease. Preventing bone injury is a crucial nursing intervention to focus on for these clients. Measures to prevent bone injury include implementing fall precautions, encouraging safe mobility, providing supportive devices such as walkers or canes, and educating the client on strategies to prevent falls and fractures. Additionally, pain management and regular assessment for signs of bone damage are essential in caring for clients with multiple myeloma. Other interventions such as monitoring respiratory status, balancing rest and activity, and restricting fluid intake may be important in certain situations for these clients but preventing bone injury takes precedence due to the increased risk of skeletal complications associated with multiple myeloma.

Correct Answer: A

Rationale: The most common site of cancer for a female is the uterine cervix. Cervical cancer is the fourth most common cancer in women worldwide. It is primarily caused by the human papillomavirus (HPV), a sexually transmitted infection. Regular Pap smears can help detect precancerous changes in the cervix early, making it a preventable and treatable cancer if caught early. It is important for nurses to educate their clients on the importance of routine screenings and HPV vaccination to prevent cervical cancer.

Correct Answer: B

Rationale: Danazol (Danocrine) is a synthetic androgen that is used to treat conditions such as fibrocystic breast disease. One of the known adverse effects of danazol is the development of amenorrhea, which refers to the absence of menstrual periods. This occurs because danazol suppresses ovarian function by inhibiting the release of gonadotropins, leading to decreased production of estrogen and progesterone. Amenorrhea associated with danazol use is typically reversible upon discontinuation of the medication. Nausea, confusion, and hypotension are not common adverse reactions associated with danazol use for fibrocystic breast disease.

Correct Answer: B

Rationale: Digoxin toxicity can manifest in various ways, but one common sign is the presence of visual disturbances such as seeing halos around lights. This is due to digoxin's effect on the optic nerve. Patients experiencing halos around lights should seek medical attention promptly as it may indicate a serious reaction to the medication. The other options (poor appetite, constipation, tachycardia) may occur with digoxin toxicity as well, but the visual disturbance of halos around lights is a classic and important sign to be aware of.

Correct Answer: B

Rationale: Hypertension, also known as high blood pressure, is a condition where the force of blood against the walls of the arteries is consistently too high. The definition provided in choice B, "It is higher than normal on two separate occasions," accurately captures the concept of hypertension. A diagnosis of hypertension typically requires blood pressure measurements to be consistently elevated on at least two separate occasions to rule out temporary spikes in blood pressure. This distinction is essential in diagnosing and managing hypertension effectively to prevent complications such as heart disease, stroke, and kidney problems. Choices A, C, and D do not capture the defining characteristic of hypertension as clearly as choice B.