The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to note specifically in this disorder?
A. Increased WBC’s
B. Increased calcium levels
C. Decreased blood urea nitrogen
D. Decreased number of plasma cells in the bone marrow.
Correct Answer: B. Increased calcium levels
Option B: Hypercalcemia (increased calcium level) is caused by the release of calcium from the deteriorating bone tissue in multiple myeloma. This may cause symptoms of excessive thirst, constipation, dehydration, nausea, frequent urination, dizziness, confusion, and eventually to coma.
Options A and C: Findings indicative of multiple myeloma are an increased number of plasma cells in the bone marrow and elevated uric acid levels.
Option D: An increased white blood cell count may or may not be present and is not related specifically to multiple myeloma.
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