A patient states, "I am in such pain. Do you think I might have fibromyalgia?" Which response by the nurse is indicated?
1. "Have you been in pain over 2 months?"
2. "You must stop smoking before a diagnosis of fibromyalgia can be made.".
3. "Have you considered having the blood test for fibromyalgia?"
4. "In which areas do you have pain?"
4
Rationale 1: Fibromyalgia is diagnosed when pain has continued over 3 months.
Rationale 2: Symptoms of fibromyalgia are aggravated by smoking, but it is not required that a patient stop smoking before the diagnosis can be made.
Rationale 3: There is no specific test for fibromyalgia.
Rationale 4: The main signs and symptoms of fibromyalgia are pain in the back, neck, forearms, and knees.
You might also like to view...
The nurse is instructing the client on how to use the client-controlled analgesia (PCA) pump. Which statement made by the client indicates an appropriate understanding of the nurse's instructions regarding the use of the PCA pump?
1. "I will push the button continually until I am pain free." 2. "I will likely overdose on pain medication with the use of the button." 3. "I will let my family control my pain medicine by allowing them to push the button." 4. "I will push the button when the pain becomes severe."
Which patient would benefit most from closed, process-oriented group therapy?
a. Adult with disorganized schizophrenia admitted to an acute psychiatric unit b. Outpatient living independently with chronic low self-esteem and anxiety c. Patient receiving treatment in an assertive community treatment program d. Resident of a group home attending a partial hospitalization program
The nurse finishes a parent-teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
1. Hydration should occur at the end of an exercise session. 2. Water is the drink of choice to replenish fluids. 3. Wearing dark clothing during exercise is recommended. 4. During activity, stop for fluids every 15–20 minutes.
The patient is confused, is trying to get out of bed, and is pulling at the intravenous infusion tubing. Which nursing diagnosis will the nurse add to the care plan?
a. Impaired home maintenance b. Deficient knowledge c. Risk for poisoning d. Risk for injury