Author Question: A client has been admitted after sustaining a humerus fracture that occurred when picking up the ... (Read 46 times)

luminitza · **on:** Jun 25, 2018

A client has been admitted after sustaining a humerus fracture that occurred when picking up the family cat. What test result would the nurse correlate to this condition?

a. Bence-Jones protein in urine
b. Epstein-Barr virus: positive
c. Hemoglobin: 18 mg/dL
d. Red blood cell count: 8.2/mm3

Question 2

A client is having a bone marrow biopsy and is extremely anxious. What action by the nurse is best?

a. Assess client fears and coping mechanisms.
b. Reassure the client this is a common test.
c. Sedate the client prior to the procedure.
d. Tell the client he or she will be asleep.

lkanara2 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
This client has possible multiple myeloma. A positive Bence-Jones protein finding would correlate with this condition. The Epstein-Barr virus is a herpesvirus that causes infectious mononucleosis and some cancers. A hemoglobin of 18 mg/dL is slightly high for a male and somewhat high for a female; this can be caused by several conditions, and further information would be needed to correlate this value with a specific medical condition. A red blood cell count of 8.2/mm3 is also high, but again, more information would be needed to correlate this finding with a specific medical condition.

Answer to Question 2

ANS: A
Assessing the client's specific fears and coping mechanisms helps guide the nurse in providing holistic care that best meets the client's needs. Reassurance will be helpful but is not the best option. Sedation is usually used. The client may or may not be totally asleep during the procedure.