{"id":3805,"date":"2024-05-01T20:56:00","date_gmt":"2024-05-01T20:56:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=3805"},"modified":"2026-03-20T13:50:44","modified_gmt":"2026-03-20T21:50:44","slug":"nclex-qotd-multiple-myeloma","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Multiple myeloma"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#A_Routinely_monitor_the_patients_blood_glucose_levels\" >A.&nbsp;Routinely monitor the patient\u2019s blood glucose levels&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#D_Assess_for_breakthrough_pain_every_shift\" >D.&nbsp;Assess for breakthrough pain every shift&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#B_Encourage_the_patient_to_schedule_acupuncture_once_discharged\" >B.&nbsp;Encourage the patient to schedule acupuncture once discharged&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#C_Advise_the_patient_to_limit_alcohol_consumption_to_2_glasses_of_wine_per_day\" >C. Advise the patient to limit alcohol consumption to 2 glasses of wine per day<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\/#E_Encourage_the_patient_to_consume_a_low_residue_diet\" >E.&nbsp;Encourage the patient to consume a low residue diet<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Nursing interventions for a patient with multiple myeloma undergoing chemotherapy and experiencing chronic pain are essential. This NCLEX question delves into prioritizing care, including medication administration, pain assessment, and monitoring for side effects like hyperglycemia. Test your understanding of oncology nursing with this scenario-based question.<br><\/strong><\/em><br>The nurse in the oncology unit is caring for a patient undergoing chemotherapy for treatment of multiple myeloma with the priority hypothesis of&nbsp;chronic pain.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Medication Administration Record (MAR)&nbsp;<\/td><\/tr><tr><td>Prednisolone 20 mg PO daily&nbsp;&nbsp;<\/td><\/tr><tr><td>Duloxetine 60 mg PO daily&nbsp;<\/td><\/tr><tr><td>Morphine SR 20 mg PO every 12 hours&nbsp;<\/td><\/tr><tr><td>Bisacodyl 5 mg once PR daily, as needed&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Based on the clinical information, which nursing intervention(s) is\/are appropriate?&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Select all that apply.&nbsp;<\/strong><strong>&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Routinely monitor the patient\u2019s blood glucose levels<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;Encourage the patient to schedule acupuncture once discharged<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Advise the patient to limit alcohol consumption to 2 glasses of wine per day<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;Assess for breakthrough pain every shift&nbsp;<\/strong><strong>E.&nbsp;Encourage the patient to consume a low residue diet<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answers!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Routinely_monitor_the_patients_blood_glucose_levels\"><\/span>A.&nbsp;Routinely monitor the patient\u2019s blood glucose levels&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Corticosteroids such as prednisolone can be prescribed in conjunction with analgesics to alleviate pain and discomfort caused by cancer. They are antiinflammatory medications that reduce swelling and inflammation caused by cancer. One side effect of corticosteroids is hyperglycemia, therefore, the nurse should monitor the patient\u2019s blood glucose levels.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Assess_for_breakthrough_pain_every_shift\"><\/span>D.&nbsp;Assess for breakthrough pain every shift&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Patients taking pain medications around the clock, such as morphine every twelve hours, may experience sudden pain spikes, known as breakthrough pain. The nurse should assess for breakthrough pain in patients with cancer since it may be necessary to administer additional prescribed analgesics.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Patients with cancer are at risk for acute and chronic pain, which can decrease quality of life. The nurse should perform pharmacologic and nonpharmacologic interventions to manage pain, including administering corticosteroids and opioids as prescribed as well as encouraging nonpharmacologic interventions such as guided imagery and assessing for breakthrough pain. The nurse should not encourage acupuncture since it can increase risk for infection, nor should they advise the patient to consume two glasses of wine per day. Further, due to the side effects of corticosteroids, such as the patient\u2019s prescribed prednisolone, the nurse should monitor blood glucose and encourage the patient to consume a fibrous diet to combat opioid-induced constipation since the patient is taking morphine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Encourage_the_patient_to_schedule_acupuncture_once_discharged\"><\/span>B.&nbsp;Encourage the patient to schedule acupuncture once discharged&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>Nonpharmacologic interventions can be used to treat cancer pain, such as guided imagery, massage, and distraction. Since acupuncture can put the patient at risk for infection, it should not be encouraged. Patients undergoing chemotherapy are at risk for infection due to treatment-induced neutropenia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Advise_the_patient_to_limit_alcohol_consumption_to_2_glasses_of_wine_per_day\"><\/span>C. Advise the patient to limit alcohol consumption to 2 glasses of wine per day<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Patients taking opioids, such as morphine, for pain control should be advised not to consume alcohol because the combination can cause drowsiness which may lead to safety issues, such as falls or impaired driving.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"E_Encourage_the_patient_to_consume_a_low_residue_diet\"><\/span>E.&nbsp;Encourage the patient to consume a low residue diet<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>The most common and persistent side effect from opioids, such as morphine, is constipation. Therefore, the patient should be advised to consume foods with fiber, such as bran, rather than follow a low residue, or low fiber diet.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png\" alt=\"Osmosis ad to create an account\" class=\"wp-image-3807\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nursing interventions for a patient with multiple myeloma undergoing chemotherapy and experiencing chronic pain are essential. This NCLEX question delves into prioritizing care, including medication administration, pain assessment, and monitoring for side effects like hyperglycemia. Test your understanding of oncology nursing with this scenario-based question.The nurse in the oncology unit is caring for a patient [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":3806,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-3805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Multiple myeloma - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Multiple myeloma - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Nursing interventions for a patient with multiple myeloma undergoing chemotherapy and experiencing chronic pain are essential. This NCLEX question delves into prioritizing care, including medication administration, pain assessment, and monitoring for side effects like hyperglycemia. Test your understanding of oncology nursing with this scenario-based question.The nurse in the oncology unit is caring for a patient [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-01T20:56:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-20T21:50:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\"},\"author\":{\"name\":\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158\"},\"headline\":\"NCLEX-RN\u00ae Question of the Day: Multiple myeloma\",\"datePublished\":\"2024-05-01T20:56:00+00:00\",\"dateModified\":\"2026-03-20T21:50:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\"},\"wordCount\":654,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp\",\"articleSection\":[\"Exam Prep\",\"NCLEX\",\"NCLEX-RN\",\"Registered Nursing (RN)\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\",\"url\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\",\"name\":\"NCLEX-RN\u00ae Question of the Day: Multiple myeloma - Osmosis Blog\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp\",\"datePublished\":\"2024-05-01T20:56:00+00:00\",\"dateModified\":\"2026-03-20T21:50:44+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp\",\"width\":1080,\"height\":1080,\"caption\":\"NCLEX\u00ae QOTD: Multiple myeloma\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.osmosis.org\/blog\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"NCLEX-RN\u00ae Question of the Day: Multiple myeloma\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"name\":\"Osmosis Blog\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\",\"name\":\"Osmosis Blog\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"width\":1276,\"height\":596,\"caption\":\"Osmosis Blog\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158\",\"name\":\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g\",\"caption\":\"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE\"},\"description\":\"Author\/Reviewer Paige Randall, PhD, MS, RN, CEN, CNE, has been a Registered Nurse for more than a decade and has a clinical background in cardiac, emergency nursing, and nursing education Elizabeth Lucas, EdD, RN, CNE, has been a Registered Nurse since 2008 with a clinical background in oncology working in a Medical Oncology Unit, a Critical Care Bone Marrow Transplant Unit, and a Hematology\/Oncology Clinic.\",\"url\":\"https:\/\/www.osmosis.org\/blog\/author\/paigeandlizqotd\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"NCLEX-RN\u00ae Question of the Day: Multiple myeloma - Osmosis Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma","og_locale":"en_US","og_type":"article","og_title":"NCLEX-RN\u00ae Question of the Day: Multiple myeloma - Osmosis Blog","og_description":"Nursing interventions for a patient with multiple myeloma undergoing chemotherapy and experiencing chronic pain are essential. This NCLEX question delves into prioritizing care, including medication administration, pain assessment, and monitoring for side effects like hyperglycemia. Test your understanding of oncology nursing with this scenario-based question.The nurse in the oncology unit is caring for a patient [&hellip;]","og_url":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma","og_site_name":"Osmosis Blog","article_published_time":"2024-05-01T20:56:00+00:00","article_modified_time":"2026-03-20T21:50:44+00:00","og_image":[{"width":1080,"height":1080,"url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp","type":"image\/webp"}],"author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["Article","BlogPosting"],"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#article","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma"},"author":{"name":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158"},"headline":"NCLEX-RN\u00ae Question of the Day: Multiple myeloma","datePublished":"2024-05-01T20:56:00+00:00","dateModified":"2026-03-20T21:50:44+00:00","mainEntityOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma"},"wordCount":654,"commentCount":0,"publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp","articleSection":["Exam Prep","NCLEX","NCLEX-RN","Registered Nursing (RN)"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma","url":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma","name":"NCLEX-RN\u00ae Question of the Day: Multiple myeloma - Osmosis Blog","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp","datePublished":"2024-05-01T20:56:00+00:00","dateModified":"2026-03-20T21:50:44+00:00","breadcrumb":{"@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#primaryimage","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp","width":1080,"height":1080,"caption":"NCLEX\u00ae QOTD: Multiple myeloma"},{"@type":"BreadcrumbList","@id":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-multiple-myeloma#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.osmosis.org\/blog"},{"@type":"ListItem","position":2,"name":"NCLEX-RN\u00ae Question of the Day: Multiple myeloma"}]},{"@type":"WebSite","@id":"https:\/\/www.osmosis.org\/blog\/#website","url":"https:\/\/www.osmosis.org\/blog\/","name":"Osmosis Blog","description":"","publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.osmosis.org\/blog\/#organization","name":"Osmosis Blog","url":"https:\/\/www.osmosis.org\/blog\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","width":1276,"height":596,"caption":"Osmosis Blog"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/131a18b6ecda9e9a8aac2894efb9d158","name":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d6c2ca8e1c8eafcaf906ff92af24958d629f6c8203487bb2f1a5aebceb746a9e?s=96&d=mm&r=g","caption":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE"},"description":"Author\/Reviewer Paige Randall, PhD, MS, RN, CEN, CNE, has been a Registered Nurse for more than a decade and has a clinical background in cardiac, emergency nursing, and nursing education Elizabeth Lucas, EdD, RN, CNE, has been a Registered Nurse since 2008 with a clinical background in oncology working in a Medical Oncology Unit, a Critical Care Bone Marrow Transplant Unit, and a Hematology\/Oncology Clinic.","url":"https:\/\/www.osmosis.org\/blog\/author\/paigeandlizqotd"}]}},"jetpack_featured_media_url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T145644.479.webp","jetpack-related-posts":[{"id":3213,"url":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-eye-drops","url_meta":{"origin":3805,"position":0},"title":"NCLEX-RN\u00ae Question of the Day: Eye drops","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"January 10, 2024","format":false,"excerpt":"Today's NCLEX-RN\u00ae question of the day focuses on a nurse gathering the health history of a patient prescribed an eye drop for glaucoma. With the patient unsure of the medication's name, the nurse turns to the electronic health record (EHR) for clues. Can you identify the likely glaucoma treatment in\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"NCLEX\u00ae QOTD: Eye drops","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T084924.332.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T084924.332.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T084924.332.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T084924.332.webp 2x"},"classes":[]},{"id":4125,"url":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-mar-hcv","url_meta":{"origin":3805,"position":1},"title":"NCLEX-RN\u00ae Question of the Day: MAR HCV","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"July 24, 2024","format":false,"excerpt":"Discover the correct medication for treating chronic hepatitis C virus (HCV) infection in this NCLEX Question of the Day. Test your nursing knowledge now! The nurse reviews the medication administration record (MAR) of a client diagnosed with chronic hepatitis C virus (HCV) infection. Which medication should be present in the\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/NCLEX-mar-hcv.webp 2x"},"classes":[]},{"id":1463,"url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-tumor-lysis-syndrome","url_meta":{"origin":3805,"position":2},"title":"NCLEX-RN\u00ae Question of the Day: Tumor lysis syndrome (TLS)","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"March 16, 2022","format":false,"excerpt":"Today's NCLEX-RN\u00ae question of the day focuses on a nurse reviewing laboratory results on an oncology unit.\u00a0 The nurse is reviewing the blood work drawn for a client on the oncology unit. The nurse should recognize which laboratory result correlates with a diagnosis of tumor lysis syndrome (TLS)? A. Phosphorus\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"NCLEX\u00ae Question of the Day: Tumor Lysis Syndrome","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/50.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/50.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/50.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/50.webp 2x"},"classes":[]},{"id":7259,"url":"https:\/\/www.osmosis.org\/blog\/dosage-calculation-hydroxyurea","url_meta":{"origin":3805,"position":3},"title":"Dosage Calculation: Hydroxyurea","author":"Amber Dortch, FNP","date":"July 21, 2025","format":false,"excerpt":"Practice calculating the correct hydroxyurea dose for a CML patient based on weight changes. Can you determine how many tablets to administer?","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"Dosage Calculation Hydroxyurea","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/07\/Hydroxyurea_Question.png","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/07\/Hydroxyurea_Question.png 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/07\/Hydroxyurea_Question.png 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/07\/Hydroxyurea_Question.png 2x"},"classes":[]},{"id":10262,"url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-reverse-isolation","url_meta":{"origin":3805,"position":4},"title":"NCLEX-RN\u00ae Question of the Day: Reverse isolation","author":"Janine Eagon, MS, APNP, CNS, RNC-OB","date":"June 10, 2026","format":false,"excerpt":"Why are some patients placed in reverse isolation? Explore this NCLEX-RN style question on infection prevention, protective precautions, and caring for immunocompromised patients.","rel":"","context":"In &quot;Equity, Diversity, Inclusion &amp; Belonging&quot;","block_context":{"text":"Equity, Diversity, Inclusion &amp; Belonging","link":"https:\/\/www.osmosis.org\/blog\/category\/equity-diversity-and-inclusion"},"img":{"alt_text":"NCLEX-RN\u00ae Question of the Day: Reverse isolation","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/06\/NCLEX-RN-Question-of-the-day-Reverse-Isolation.jpg","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/06\/NCLEX-RN-Question-of-the-day-Reverse-Isolation.jpg 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/06\/NCLEX-RN-Question-of-the-day-Reverse-Isolation.jpg 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/06\/NCLEX-RN-Question-of-the-day-Reverse-Isolation.jpg 2x"},"classes":[]},{"id":7308,"url":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-femur-fracture","url_meta":{"origin":3805,"position":5},"title":"NCLEX-RN\u00ae Question of the Day: Femur fracture","author":"Paige Randall, PhD, MS, RN, CNE &amp; Elizabeth Lucas, EdD, RN, CNE","date":"August 20, 2025","format":false,"excerpt":"Test your knowledge on medications that increase fracture risk. Which drug affects bone remodeling and raises the chance of pathological fractures?","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/08\/NCLEX-RN-Question-of-the-day-femur-fracture.jpg","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/08\/NCLEX-RN-Question-of-the-day-femur-fracture.jpg 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/08\/NCLEX-RN-Question-of-the-day-femur-fracture.jpg 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/08\/NCLEX-RN-Question-of-the-day-femur-fracture.jpg 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3805","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/users\/279"}],"replies":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/comments?post=3805"}],"version-history":[{"count":2,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3805\/revisions"}],"predecessor-version":[{"id":7003,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3805\/revisions\/7003"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/3806"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=3805"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=3805"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=3805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}