The nurse is developing a plan of care for the client with multiple myeloma. The nurse includes which priority intervention in the plan of care?
A. Encouraging fluids
B. Providing frequent oral care
C. Coughing and deep breathing
D. Monitoring red blood cell count
Correct Answer: A. Encouraging fluids
Option A: Hypercalcemia caused by bone destruction is a priority concern in the client with multiple myeloma. The nurse should administer fluids in adequate amounts to maintain an output of 1.5 to 2 L a day. Clients require about 3 L of fluid per day. The fluid is needed not only to dilute the calcium overload but also to prevent protein from precipitating in renal tubules.
Options B, C, and D: These are components in the plan of care but are not the priority in this client.
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