Which of the following would the nurse expect to assess as the most common finding associated with fibromyalgia?
A) Heberden's nodes
B) Jaw locking
C) Widespread chronic pain
D) Butterfly facial rash
C
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The most common finding associated with fibromyalgia is widespread and chronic pain, as clients experience an increased sensitivity to pain signals. Heberden's nodes are associated with osteoarthritis. Jaw locking is a manifestation of temporomandibular joint dislocation. A butterfly facial rash is associated with systemic lupus erythematosus.
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Many critically ill patients experience anxiety. The nurse can reduce anxiety with which approach?
a. Ask family members to limit their visitation to 2-hour periods in morning, afternoon, and evening. You know that this is the best approach to ensure uninterrupted rest time for the patient. Tell the patient, "Mr. J., your family is in the waiting room. They will be permitted to come in at 2:00 PM after you take a short nap." b. Explain the unit routine. "Mr. J., assessments are done every 4 hours; patients are bathed on the night shift around 5:00 AM; family members are permitted to visit you after the physicians make their morning rounds. They can spend the day. Lights are out every night at 10:00 PM." c. State, "Mr. J., it's time to turn you. I am going to ask another nurse to come in and help me. We will turn you to your left side. During the turn, I'm going to inspect the skin on your back and rub some lotion on your back. This should help to make you feel better." d. Suction Mr. J.'s endotracheal tube immediately when he starts to cough. Tell him, "Mr. J., your tube needs suctioned; you should feel better after I'm done."
The nurse is planning patient teaching for a patient with ESKD who is scheduled for the creation of a fistula. The nurse would include which of the following in teaching the patient about the fistula?
A) A vein and an artery in your arm will be attached surgically. B) The arm should be immobilized for 4 to 6 days. C) One needle will be inserted into the fistula for each dialysis treatment. D) The fistula can be used 2 days after the surgery for dialysis treatment.
The nurse is documenting the obstetric history of a pregnant woman during her first prenatal visit using the GP/TPAL notation system. The client reports that this will be her third child
She delivered her first child at 32 weeks and her second child at 40 weeks. She had a miscarriage 5 years ago, of unknown age, and another miscarriage at 7 weeks last year. Which of the following represents the correct documentation of this history? A) 4 2 0 2 3 B) 5 2 1 1 3 C) 4 1 2 1 2 D) 5 1 1 2 2
A nurse is working with a client who has a diagnosis of obsessive-compulsive personality disorder. It is important for the nurse and client to discuss:
A) The effect of anger on perfectionism. B) The link between anxiety and perfectionism. C) The need for medication. D) The need to feel superior.