The nurse is preparing to write a care plan for the patient with fibromyalgia. Which nursing diagnosis best addresses this disorder?
a. Fatigue
b. Pain, chronic
c. Impaired physical mobility
d. Activity intolerance
B
Pain is the predominant symptom with fibromyalgia. The pain can lead to other problems, such as fatigue, impaired mobility, and activity intolerance; however, if the pain can be controlled, other health problems may be reduced.
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The nurse manager must know how to determine priorities to be effective. When identifying priorities, the manager needs to think of
a. The needs of the person most likely to sue the organization b. The needs of the entire organization c. The needs of the staff; if they are happy, the patients receive good care d. The needs of upper management
An adult patient with a large thermal burn has been receiving intravenous fluid resuscitation calculated by the maximum amount according to the American Burn Association consensus formula
What symptom or result would indicate the onset of a complication secondary to rapid fluid resuscitation? A) Urine output 30 to 50 mL/hr B) Serum sodium 135 to 140 mEq/L C) Weight gain of 12% since admission D) New coarse crackles auscultated at lung bases
The nurse is caring for a client with a gastric ulcer who suddenly develops sharp mid-epigastric pain. The nurse notes that the client's abdomen is hard and very tender to light palpation. Which is the priority action of the nurse?
a. Place the client in a knee-chest position. b. Prepare the client for emergency surgery. c. Insert a nasogastric (NG) tube to low intermittent suction. d. Assess the client's pain and administer analgesics.
A nurse instructs an infertile woman in self-administration of a gonadotropin-releasing hormone antagonist (Ganirelix). Which statement by the patient demonstrates understanding of where to administer the medication?
The best sites for self-administration are the a. periumbilical area." b. arm." c. upper thigh." d. hip." e. love handles."