In which of the following individuals would a clinician most suspect multiple myeloma as a diagnosis?

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In which of the following individuals would a clinician most suspect multiple myeloma as a diagnosis?
Answers:
A. A 70-year-old woman whose blood work reveals large numbers of immature granulocytes
B. A 68-year-old former coal miner who has white cell levels exponentially higher than normal ranges
C. A 40-year-old man who has had three broken bones over the past 6 months and whose serum calcium and creatinine levels are elevated
D. An 81-year-old male resident of a long-term care home who has an uncommon bacterial pneumonia and who is unable to produce a fever

Which of the following statements by students would the instructor most likely need to correct?

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A group of novice nursing students are learning how to manually measure a client’s blood pressure using a stethoscope and sphygmomanometer. Which of the following statements by students would the instructor most likely need to correct?
Answers:
A. “If my client’s arm is too big for the cuff, I’m going to get a BP reading that’s artificially low.”
B. “I’ll inflate the cuff around 30 mm Hg above the point at which I can’t palpate the client’s pulse.”
C. “The accuracy of the whole process depends on my ability to clearly hear the Korotkoff sounds with the bell of my stethoscope.”
D. “With practice, my measurement of clients’ blood pressures with this method will be more accurate than with automated machines.”

Which of the following phenomena would underlie the physician's explanation?

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A physician is explaining to a 40-year-old male patient the importance of completing his course of antibiotics for the treatment of tuberculosis. The physician explains the damage that could occur to lung tissue by Mycobacterium tuberculosis. Which of the following phenomena would underlie the physician’s explanation?
Answers:
A. Tissue destruction results from neutrophil deactivation.
B. Macrophages form a capsule around the Mycobacterium tuberculosis bacteria, resulting in immune granulomas.
C. Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.
D. Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.

What would be the most accurate response to this statement?

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A student makes the statement to a colleague, “Blood plasma is essentially just a carrier for the formed elements like red blood cells and white blood cells.”What would be the most accurate response to this statement?
Answers:
A. “Not really. Plasma also contributes to the processes of protein synthesis and hematopoiesis.”
B. “Actually, plasma is integral to the proper function of the liver and maintenance of acid–base balance.”
C. “Actually, plasma plays a significant role in nutrient and waste transport.”
D. “That’s not really true. Plasma is crucial in the immune and inflammatory responses.”