The nurse knows which of the following clients listed below is most likely to exhibit clinical manifestations of chronic fatigue?
A)
A client with a diagnosis of multiple sclerosis who has been admitted to the hospital for exacerbation of the disease process
B)
A hospitalized client with cellulitis to the lower leg
C)
A hospitalized client with a history of paraplegia with a necrotic ischial wound
D)
A hospitalized client admitted for a surgical repair of a rectovaginal fistula
Ans:
A
Feedback:
Clients with neurological conditions such as multiple sclerosis are particularly likely to experience signs and symptoms associated with chronic fatigue. Infections, wounds, and surgery will cause fatigue but are less likely to contribute to the long-term presentation associated with chronic fatigue.
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The nurse is working with a male client undergoing psychiatric rehabilitation. Which of the following actions by the client exhibits reaching a goal of rehabilitation?
1. Eating only one meal per day and drinking many energy drinks 2. Refusing to take prescribed medications 3. Doing his own laundry 4. Having his mother go grocery shopping for him
The nursing diagnosis established for a client with fluctuating levels of consciousness, disturbed
orientation, and visual and tactile hallucinations that should be given priority is a. bathing/hygiene self-care deficit related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks. b. risk for injury related to altered cerebral function, as evidenced by sensory perceptual alterations and unstable gait. c. disturbed thought processes related to altered cerebral function resulting from medication intoxication, as evidenced by confusion, disorientation, and hallucinations. d. fear related to sensory perceptual alterations, as evidenced by hiding from hallucinated dog and wanting nurse to remove hallucinated bugs from her legs.
A father does not want to give consent for genetic testing for his newborn. Which statement by the father would be difficult for the nurse to dispute?
1. "I'll take care of him no matter what happens." 2. "The chances of his having a genetic problem are minuscule." 3. "These genetic diseases are not contagious, so it's not as if he could give one to someone else." 4. "By the time he gets old enough to have kids they will have figured out how to fix all these diseases."
The nurse educator appropriately impacts the learning of nursing students when using computer technology to:
1. Assign distance learners to conduct a research of current evidence-based articles on caring for the diabetic client. 2. Expect that notification of clinical absences be provided by e-mail. 3. Require a clinical group to make daily reflective entries in an online journal. 4. Provide extra credit for academic work that is created on a computer as an electronic file. 5. Encourage the learners to access online NCLEX review questions as a way to assess their classroom learning.