A patient with progressive multiple myeloma is being cared for in a hospice house. The nurse should include which of the following in the plan of care?

Be cautious with repositioning

Explanation

•In multiple myeloma, cancerous plasma cells infiltrate the bone and cause osteoporosis. Patients are at high risk for pathological bone fractures, and therefore, should be cautious with normal activity and repositioning.

•Hyperkalemia is generally not associated with multiple myeloma.

•Hypercalcemia is associated with multiple myeloma not hypocalcemia.

•The patient does not have to be placed on airborne isolation, but steps should be taken to reduce the risk of infection for this immunocompromised patient.

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