Question

3. A 73-year-old man has worked as a professional gardener for most of his life after he came home from the Vietnam war. He has been experiencing a lot of pain in his lower extremities and has had two pathologic fractures of his right wrist over the past 6 months. He has lost about 20 pounds and has generalized weakness. a. What does the clinic nurse suspect is happening with the client? b. What treatment options can be explored with the client at this time? 4. A 28-year-old woman is at 34 weeks' gestation with her second child. At this prenatal visit, her blood pressure is extremely high and there are no audible fetal heart tones. Her obstetrician admits her for an emergency cesarean birth under general anesthetic. The baby boy is stillborn. Immediately after closure of the wound, the client starts to have excessive bleeding and clotting from her vagina and abdominal incision. The client is transferred to ICU and given 8 units of FFP and 6 units of platelets. a. Why does the ICU team need to determine the client's primary problem? Twenty-four hours after admission to the ICU, the client dies. Explain why this

Answer 1

I am what does the happening clinic nutre suspects in with clients of being away (And multiple myeloma The patient's history veteran and hix occupation, along with hix current profile of symptoms make it highley probable that he has multiple myeloma The bone pain and pathologic compresion fractures are directly associated with the abnormal proliferation of marrow plasma cells and an increase in osteolytic bone Lesions - Osteocytes are bone matured celly that maintain the slatsix of bone structure. to the bone destruction that occurs with multiple myeloma impacts both RBC and WBC count making the client more prone to problems of Anemia & infection, further blood & choomosome studies may Reveal the ampact of immunoglobuling that together contribute to bone lesson formation mo

what treatment options can be explored with The client at this time? The treatment options for the patient at this time are varied & very involved - - through diagnostic maging & confirmation of the diagnosix (usually with MRI siden lifying bone Lesions (tumor). Serum M proteiny and Bence – Jones soothing in the wine vorcon 2 auteng D some potential choices that would need to be explained are & Radiation may offer some Reliet of bone pain. He would not be a candidate of Stem cell transplantation because of his

ewer Newer treatments with thalidomide and dexamethasone have offered some delays in tumor growth. » Melphalan (Alkeran) a chemotherapeutic agent and prednisone (a cat costeroid) have been used as a combination therapy se considered the most tradational approach for treatment & plear Rate the Answer &