A client is going to have tender points examined to determine the diagnosis of fibromyalgia. The nurse should instruct the client the number of tender points that must be positive for the diagnosis would be:
1. 11.
2. 13.
3. 15.
4. 17.
1
The presence of at least 11 of 18 tender points is considered diagnostic for fibromyalgia. The other higher numbers would just be useful to confirm the diagnosis.
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A student nurse is giving a patient an intramuscular Depo-Provera injection. Which action by the student would cause the instructor to intervene?
A. Assesses that the patient's last period started 5-7 days ago B. Injects the medication deeply into the gluteus maximus C. Instructs the woman to return in 3 months for another shot D. Massages the site when the patient complains of pain
A woman has a long-running compulsion to repeatedly check if the doors of her home are locked and has received a diagnosis of obsessive-compulsive disorder (OCD)
Her husband is at a loss to understand her irrational behavior and has sought help from a therapist himself to deal with the effect that his wife's OCD is having on their daily lives. Which of the husband's following statements would require correction? A) "It's a relief to know that this can be changed if she continues with therapy and the medications she's been prescribed." B) "It's odd that someone like her and someone who's depressed might both respond positively to the same drugs." C) "I thought that this was something exceedingly rare, but I'm actually a bit relieved to learn that others have this disorder as well." D) "I'm glad that this is something that's a result of life stressors and is not associated with any dysfunction in her brain."
What needs to be included as essential teaching for adolescents with systemic lupus erythematosus (SLE)?
a. High calorie diet because of increased metabolic needs b. Home schooling to decrease the risk of infections c. Protection from sun and fluorescent lights to minimize rash d. Intensive exercise regimen to build up muscle strength and endurance
The client is being treated with enteral feeding. Before administering the feeding, the nurse plans to elevate the head of the client's bed _____ degrees
a. 90 b. 45 c. 30 d. 15