NCLEX-PN

Category - Reduction of Risk

A client is admitted with a diagnosis of multiple myeloma. The nurse assigned to care for the client should expect which laboratory finding?
  1. Platelet count = 170,000 cells/µL
  2. Serum uric acid = 5 mg/dL
  3. Calcium = 12 mg/dL
  4. WBC = 12,000 cells/µL
Explanation
Answer: C - A client with multiple myeloma typically experiences hypercalcemia (Ca >10.5 mg/dL), hyperuricemia (Serum uric acid > 7 mg/dL ), thrombocytopenia (Platelet count < 150,000 cells/µL), and leukopenia (WBC < 4,000 cells/µL). Multiple myeloma involves bone tumors and increased production of plasma cells.
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