The nurse is caring for a client who is diagnosed with fibromyalgia. Based on this diagnosis, which clinical manifestations does the nurse anticipate for this client?
Select all that apply.
A) Irritable bowel syndrome
B) Insomnia
C) Pain in the calves of the leg
D) Nausea and vomiting
E) Anxiety
Answer: A, B, E
The client with fibromyalgia experiences weakness, irritable 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 encourages a patient to be proactive in promoting and maintaining health by doing which of the following? Select all that apply
1. Introducing the patient to the benefits of a regular exercise program 2. Discussing the importance of keeping blood sugar levels within normal range 3. Referring to a clinic for blood pressure screening 4. Suggesting that medical care is accessed in acute emergencies and that alternative forms of treatment are used when it is not 5. Explaining effects of overwhelming stress on health
A client with severe anxiety is being treated with lorazepam (Ativan) and outpatient therapy. Which statement indicates that the client requires additional discharge instructions for this medi-cation?
a. "If I become drowsy or have blurred vi-sion, I need to stop the medication imme-diately." b. "This medication can be habit forming, so I should take it only as directed." c. "I need to add foods such as fresh fruits and grain to my diet." d. "If I get a cold I should check with my primary health-care provider before taking cold medicines."
Serious mental illness is characterized as:
a. any mental illness of more than 2 weeks' duration. b. a major long-term mental illness marked by significant functional impairments. c. a mental illness accompanied by physical impairment and severe social problems. d. a major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities.
Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.)
a. Start another IV site. b. Administer slowly with the IV fluid. c. Do not give the medication and chart. d. Flush with 10 mL of sterile water before and after administration. e. Flush with 10 mL of normal saline before and after administration.