An 82-year-old woman with fibromyalgia reports that she is not sleeping well at night. The nurse realizes that this patient is at particular risk for which complication of fibromyalgia?
1. Falling
2. Point tenderness
3. Becoming addicted to pain medications
4. Respiratory difficulties
1
Rationale 1: The muscle pain and weakness of fibromyalgia, coupled with fatigue, put the patient at greater risk of falling.
Rationale 2: Point tenderness is already associated with fibromyalgia, and less sleep does not increase the risk.
Rationale 3: There is no reason that fatigue would make a patient more likely to become addicted to pain medications.
Rationale 4: Respiratory difficulties are not specifically associated with fibromyalgia, nor is fatigue particularly causative of respiratory difficulty.
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