The nurse identifies the nursing diagnosis of chronic pain as being appropriate for a client with fibromyalgia. Which manifestation did the client most likely report that caused the nurse to select this diagnosis?
A) Pain from eyestrain
B) Pain from a severe skin rash
C) Acute chest pain
D) Tender points in the knees
Answer: D
Clients with fibromyalgia typically complain of multiple tender points generally including the neck, spine, and knees. Acute chest pain, pain from a rash, and muscle strain of the eye are not reported symptoms.
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The nurse is caring for a client who states, "I am really worried about the thoracentesis. I know I won't be able to sleep tonight." Which statement is most helpful to the client at this time?
A) "Tell me what you are worried about." B) "Is there something that I can help you with?" C) "Is there someone that you would like me to call to be with you?" D) "The physician will see you before the procedure and can answer any questions."
Family nursing models are an example of:
1. Middle-range theories. 2. Grand theories. 3. Borrowed theories. 4. Social science theories.
The client with epididymitis gets a prescription for antibiotics and the nurse provides the following discharge instructions:
A) "You may resume sexual activity after forty-eight hours." B) "Take warm sitz baths three to four times a day." C) "Take the antibiotics until the swelling subsides." D) "Use ice packs on your scrotum and wear scrotal support."
The nurse is using the DETERMINE nutrition screening tool to assess the nutritional status of an older client. Which findings indicate the nurse needs to assess further for nutritional deficiencies? Select all that apply.
1. The client is diagnosed with emphysema. 2. The client eats a can of green beans for dinner. 3. The client lives alone and does not have a vehicle. 4. The client has newly fitted permanent oral dentures. 5. The client is being treated for multiple conditions.