Which of the following is likely the cause of her pain?
A 28-year-old graduate student comes to your clinic for evaluation of pain “all over.” With further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low back, and knees. She denies swelling in her joints; she states that the pain is worse in the morning; there is no limitation in her range of motion. On physical examination, she has several points on the muscles of the neck, shoulders, and back that are tender to palpation; muscle strength and range of motion are normal.
A) Rheumatoid arthritis
B) Osteoarthritis
C) Fibromyalgia
D) Polymyalgia rheumatica
C) Fibromyalgia
The patient has pain in specific trigger point areas on the muscles, with normal strength and range of motion. This is an indication for fibromyalgia.
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A child admitted to the hospital with a diagnosis of pneumonia has a history of severe retardation. The nurse recognizes that the IQ of this child is:
1. 50–70. 2. 35–50. 3. 20–35. 4. Below 20.
The nurse is examining a 10-month-old boy who was born 10 weeks early. Which of the following findings is cause for concern?
A) The child has doubled his birth weight. B) The child exhibits plantar grasp reflex. C) The child's head size is 19.5 inches. D) No primary teeth have erupted yet.
A patient who is recovering from spinal surgery had "an accident" while attempting to reach the bathroom to void. Which type of incontinence is this patient most likely experiencing?
1. Functional 2. Urge 3. Stress 4. Overflow
Which strategy is appropriate when feeding the infant with congestive heart failure?
a. Continue the feeding until a sufficient amount of formula is taken. b. Limit feedings to no more than 30 minutes. c. Always bottle feed every 4 hours. d. Feed larger volumes of concentrated formula less frequently.