After the nurse has taught a 28-year-old with fibromyalgia, which statement by the patient indicates a good understanding of effective self-management?
a. "I am going to join a soccer team to get more exercise."
b. "I will need to stop drinking so much coffee and soda."
c. "I will call the doctor every time my symptoms get worse."
d. "I should avoid using over-the-counter medications for pain."
ANS: B
Dietitians frequently suggest that patients with fibromyalgia limit their intake of caffeine and sugar because these substances are muscle irritants. Mild exercise such as walking is recommended for patients with fibromyalgia, but vigorous exercise is likely to make symptoms worse. Because symptoms may fluctuate from day to day, the patient should be able to adapt the regimen independently, rather than calling the provider whenever symptoms get worse. Over-the-counter medications such as ibuprofen and acetaminophen are frequently used for symptom management.
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