Which statement by the patient with neutropenia indicates they understand how to manage their condition at home?

A 65-year-old retired veteran is admitted to the oncology unit after a pathological fracture of the right humerus led to the discovery of lytic lesions on their skeletal survey and a bone marrow biopsy confirming plasma cell infiltration. Upon admission, the lab work reveals multiple myeloma, requiring immediate IV hydration and bisphosphonate therapy to stabilize their bone density. During their stay, a treatment with a combination of targeted therapy (Bortezomib), an immunomodulatory drug (Lenalidomide), and high-dose Dexamethasone is initiated. After a week of  treatment, the patient’s calcium levels normalize and renal function remains stable. They are now being discharged home and will receive outpatient cancer treatment. The medical surgical nurse is providing education prior to discharge. Which of the following will the nurse educate on regarding living at home with multiple myeloma? (Select all that apply)

The nurse receives orders for admission to the medical surgical floor for further treatment. The nurse sustains an exposure while caring for the patient. Which of the following activities should be reported to the employee health department as an exposure to the nurse?

The nurse is monitoring the patient on a telemetry unit and views the following rhythm. Sinus rhythm with trigeminal pvc’s.pngThe nurse identifies the rhythm as? And will perform which priority action?

The nurse reviews the lab results for the patient, and notes a positive test for the [BLANK-1] mutation, which is found in the majority of polycythemia vera cases.

The nurse initiates IV access and draws blood for the ordered laboratory analysis. 1 hour later the nurse receives the results and notes a Brain Natriuretic Peptide (BNP) level of 900 pg/mL. What does this specific value indicate to the nurse?

A 19-year-old patient with a known history of sickle cell anemia arrives at the urgent care clinic, complaining of pain at a 10/10 in the lower back and both knees. They state they recently returned from a school skiing trip in the mountains.Vital signs: T 101.2°F, HR 112, RR 24, BP 130/84, SpO2 90% on room air.The nurse suspects the client is in a vasoocclusive crisis, and completes a health history to determine possible causes of the crisis. Which question is most important for the nurse to ask the patient?

A 68-year-old patient with a history of chronic gastritis, presents to the outpatient clinic reporting a six-month history of decreasing coordination. Family notes they have become increasingly irritable with periodic confusion. The nurse assesses the patient and observes the patient is pale and jaundiced. The tongue appears shiny, smooth, and beefy red. The nurse initiates an IV and draws blood for laboratory analysis.Laboratory Findings:Hgb: 8.4 g/dL (Normal: 13.8-17.2 g/dL)MCV: 118 fL (80-100fl))WBC: 3,500 mm³ (4,000-11,000/mm³)Serum B12: 125 pg/mL (200–900 pg/mL)The nurse is reviewing the lab results. Which specific laboratory result would confirm that the B12 deficiency is due to an autoimmune process rather than dietary intake?

A 78-year-old patient presents to the emergency room with increased shortness of breath, a persistent dry cough, and tightness in their chest during minor exertion. Physical assessment reveals systolic murmur, and crackles in the lung bases. The patient has a history of aortic stenosis, atrial fibrillation, and left sided heart failure.Vital signs: BP 105/90 mmHgHR 94 bpmSpO2 90% on room air.Which of the following symptoms should the nurse prioritize as an indication that the patient’s life expectancy has significantly decreased without surgical intervention?

The patient now has clear lung sounds, stable vital signs and has returned to baseline status. The nurse is providing discharge education related to lifestyle changes and monitoring for complications related to heart failure and their chronic pulmonary disease.  The nurse instructs the patient to call the clinic if they experience a weight gain of more than [BLANK-1] pounds in one day or [BLANK-2] pounds in one week.