A client has been diagnosed with fibromyalgia syndrome but does not want to take the prescribed medications. What nonpharmacologic measures can the nurse suggest to help manage this condition? (Select all that apply.)
a. Acupuncture
b. Stretching
c. Supplements
d. Tai chi
e. Vigorous aerobics
ANS: A, B, D
There are many nonpharmacologic means for controlling the symptoms of fibromyalgia, including acupuncture, stretching, tai chi, low-impact aerobics, swimming, biking, strengthening, massage, stress management, and hypnosis. Dietary supplements and vigorous aerobics are not recommended.
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While planning care, the nurse realizes that the client with which condition is most likely to benefit from therapeutic massage?
a. Musculoskeletal stiffness b. Aneurysm c. Varicose veins d. Heart disease
A male patient with urinary incontinence has been using an external (condom) catheter. The nurse is assessing the patient's technique of applying the device. The nurse should give the patient further instructions if he:
1. washes the penis with warm soapy water and dries the area well before applying the device. 2. encircles the penis with tape to secure the device. 3. uses elastic tape and wraps in a spiral pattern to secure the device. 4. assesses the penis carefully for any signs of irritation before applying the device.
A patient who has been prescribed cephalexin (Keflex) reports having a severe allergic reaction to penicillin in the past. What is your best first response or action?
a. Reassure the patient that Keflex is not penicillin. b. Place an allergy alert band on the patient's wrist. c. Notify the prescriber immediately before the first Keflex dose. d. Highlight this important information in the patient's medical record.
To decrease gastric irritation, anti-anemia medications, such as ferrous sulfate (Ferosol), should be taken with
1. milk. 2. other medications, such as calcium. 3. orange juice. 4. food.