Which of the following goals is appropriate for a client with multiple
1. Achieve effective management of bone pain.
2. Recover from the disease with minimal disabilities.
3. Decrease episodes of nausea and vomiting.
4. Avoid hyperkalemia.
In multiple myeloma, neoplastic plasma cells invade the bone marrow and begin to destroy the bone. As a result of this skeletal destruction, pain can be significant. There is no cure for multiple myeloma.
Nausea and vomiting are not characteristics of the disease, although the client may experience anorexia. The client should be monitored for signs of hypercalcemia resulting from bone destruction, not for hyperkalemia.
CN: Physiological adaptation; CL: Synthesize