A patient tells the nurse that she feels fine most days, but when she is expected to attend functions or do extra work to meet her family's needs, she becomes extremely tired and achy
Which of the following does this information suggest to the nurse? 1. The extra responsibilities add stress to the patient, which leads to the feelings of fatigue and achy muscles.
2. The patient does not eat sufficiently when focusing on her family's needs.
3. The patient is not getting enough exercise.
4. The patient is depressed.
The extra responsibilities add stress to the patient, which leads to the feelings of fatigue and achy muscles.
Rationale: One theory for the development of fibromyalgia is that it is triggered by stress. The patient experiences conscious or unconscious tension that causes the muscles to tense, leading to feeling fatigued and achy. There is not enough information to determine if the patient is eating sufficiently, has an appropriate exercise level, or if the patient is depressed.
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The nurse suspects that a client is experiencing pain caused by a mechanical process. Which stimuli are causing this client's pain? (Select all that apply.)
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A patient who is newly diagnosed with Parkinson's disease is prescribed levodopa [Dopar]. The patient asks the nurse about drugs to prevent disease progression. What will the nurse tell this patient?
a. "Levodopa may prevent disease progres-sion in higher doses and is safe to use for this purpose." b. "MAO-B inhibitors and dopamine agon-ists have both shown neuroprotective ef-fects in human studies." c. "Vitamin E has been shown to delay neu-ron degeneration and may be used as ad-junctive therapy." d. "While some drugs show promise, there are no studies that have proven a neuro-protective effect."
The nurse monitors for which acid-base imbalance in a client who has hypoxemia?
a. Reduced carbon dioxide production leading to alkalosis b. Reduced carbon dioxide retention leading to alkalosis c. Excess carbon dioxide production leading to acidosis d. Excess carbon dioxide retention leading to acidosis
A patient asks the nurse why being NPO for 6 to 8 hours before a contrast study is necessary. Which response by the nurse is most accurate?
a. "Decreasing the hydration status decreases the chance of an allergic response to the contrast medium.". b. "Excessive hydration causes dilution of the contrast medium, which does not per-mit as clear a picture of the area as needed.". c. "It reduces the chance of postprocedure infection.". d. "Nausea is prevented if the stomach is empty.".