The nurse is caring for a client who has complaints of chronic pain and who has been diagnosed with fibromyalgia. The nurse expects to assess which of the following in this client? (Select all that apply.)
1. Pain in the calves of the leg
2. Anxiety
3. Irritable bowel syndrome
4. Nausea and vomiting
5. Headache
2. Anxiety
3. Irritable bowel syndrome
Rationale:
The client with fibromyalgia experiences weakness, irrititable bowel syndrome, stiffness, anxiety, and sleep disturbances. There is no evidence that pain in the calves, nausea, vomiting, and headache are symptoms of fibromyalgia.
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A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following?
A) Prothrombin time and partial thromboplastin time B) Urine specific gravity C) Alanine aminotransferase and total bilirubin levels D) Follicle-stimulating hormone levels
A patient with severe heart failure asks why the prescriber has lowered the dosages of most of the patient's daily medications. What is your best response?
a. "With a weaker heart, the drugs stay in your system longer, so you don't need as high a dosage." b. "Your heart drugs enhance the action of your other drugs, reducing the need for higher dosages." c. "Your heart is not strong enough to tolerate these drugs, making the risk for a heart attack higher." d. "The drugs are very expensive, and with these heart problems your health is not expected to improve."
A client's spouse reports the presence of a reddened area on her husband's coccyx. She feels a massage would be helpful in promoting circulation to the area. The nurse responds to this suggestion by saying:
1. "Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care.". 2. "I will record these findings in the medical record.". 3. "Massaging the area may actually cause more harm to a potentially compromised area of skin.". 4. "I will need to obtain an order from the physician to perform a massage.".
The term used to describe dizziness, or a whirling feeling in the head, is ________.
Fill in the blank(s) with the appropriate word(s).