The nurse performing an assessment on a client with fibromyalgia syndrome asks about the most common clinical manifestation, which is
a. deformities of the fingers and toes.
b. fatigue, unrelieved by sleep.
c. migratory areas of numbness.
d. varying degrees of paresthesias.
B
Fatigue that is unrelieved by sleep or rest is the most commonly presented problem of fibro-myalgia. Fatigue is often caused by depression and is the result of a lack of stage 4 sleep.
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A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best?
a. Assess the client for anxiety. b. Break the information into smaller bits. c. Give the client written information. d. Review the information again.
While instructing a client on filling in a family history, the nurse says, "Don't include anyone who is not a blood relative in your history. They aren't family." What unintended message is the nurse sending?
1. Only people who are related by blood have an influence on a client's genetics. 2. People who are not related by blood have no influence on the client's health. 3. The client's nonblood relatives are not family. 4. Nonblood relatives are not important.
The incidence of tuberculosis in the United States is on the increase largely due to:
a. Inadequate housing b. An increasing number of immigrant populations c. Lapsed inoculations d. Inadequate health care
A nurse became close to a patient and stays awake at night wondering about the patient's current status. In which way should the nurse's concern about the patient be interpreted?
1. The nurse is experiencing burnout. 2. The nurse is experiencing insomnia. 3. The nurse has crossed professional boundaries. 4. The nurse has compromised professional licensure.