A client comes to the clinic and informs the nurse that he had a mild case of the flu a couple of months ago and "hasn't felt well since
" The client tells the nurse that he is fatigued and it gets worse after any physical activity and a recurrent sore throat and joint pain. What does the nurse recognize these symptoms may indicate? A) Chronic fatigue syndrome
B) Rheumatoid arthritis
C) Ulcerative colitis
D) Recurrent flu
A
Feedback:
Many clients with CFS report having had a recent illness with flulike symptoms or an upper respiratory infection. Despite having been uncomfortable, most clients do not describe their initial symptoms as being extraordinarily severe. Severe, ongoing fatigue lasts for at least 6 months without any explanation. Even though the fatigue is constant, it worsens after physical activity. The fatigue is so debilitating that it usually interferes with a person's ability to work in or outside the home. Rheumatoid arthritis and ulcerative colitis are autoimmune disorders with symptoms that are more specific than CFS and can be diagnosed with diagnostic testing and laboratory studies. The symptoms that the client is having are not characteristic of the flu.
You might also like to view...
A nurse experienced a needle stick injury while administering a subcutaneous heparin injection to an HIV-positive patient. Which of the following aspects of postexposure prophylaxis (PEP) should be implemented in the nurse's treatment?
A) The nurse's current health status and medical history will determine whether PEP is appropriate. B) The nurse should begin PEP within 7 days of the injury in order to reduce the chance of seroconversion. C) The nurse should be tested weekly for HIV for the next 12 months. D) PEP should be initiated within 1 or 2 hours of the time the nurse was exposed.
Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer
Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting. With the ongoing exposure to the ionizing radiation, DNA damage occurred. What are the three stages of carcinogenesis that occurred after his exposure to radiation? Kevin is normally a fit and active man, and his wife often commented on how much food he used to eat after a day at the mine. Why would there be muscle wasting and weight loss now? Explain your answer using your knowledge of the metabolic changes seen with cancer. In some cancer patients, muscle weakness may result from the production of onconeural antigens. Describe the effects of these antigens. In what form would this process likely take in Kevin's situation?
Organizations retain accountability for delegation. Some examples of organizational accountability for delegation are listed below. Which is not necessarily correct?
a. policies that acknowledge an RN's right to delegation with limited participation of all nurses b. providing sufficient resources including staffing with appropriate staff mix c. providing opportunity for continuous staff development d. creating an environment conducive to teamwork, collaboration, and patient-centered care
The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin) that
a. hot flashes may occur with the medication. b. serum electrolyte levels will be drawn monthly. c. the patient will need frequent eye examinations. d. the patient should call if she notices ankle swelling.