A client sees his primary care physician for complaints of fatigue. Bloodwork shows the client is anemic.
Upon physical assessment, what signs would the provider expect to see? (Select all that apply)

Bradypnea.

Tachycardia.

Nail bed pallor.

Pallor of conjunctiva.

Answer and Explanation

Correct Answer : B,C,D

These are signs of anemia, which is a condition in which the blood lacks enough healthy red blood cells to carry adequate oxygen to the body’s tissues.

Anemia can cause fatigue, weakness, pale skin, cold hands and feet, dizziness, reduced immunity and shortness of breath.

Choice A is wrong because bradypnea is abnormally slow breathing, which is not a sign of anemia. Anemia can cause tachypnea, which is abnormally fast breathing.

Choice E is wrong because flushed skin is not a sign of anemia. Anemia can cause pallor, which is pale or yellowish skin.

Flushed skin can be a sign of other conditions, such as fever, infection or allergic reaction.

Normal ranges for hemoglobin levels vary depending on age and gender. For adult males, the normal range is 13.5 to 17.5 grams per deciliter (g/dL) of blood. For adult females, the normal range is 12 to 15.5 g/dL of blood.

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Correct Answer is C

Explanation

According to Mayo Clinic, physical therapy and exercises can improve strength, flexibility and stamina for people with fibromyalgia.

Low-impact aerobics, such as swimming or biking, are recommended as they are less likely to cause muscle soreness or injury.

Choice A is wrong because antidepressant medications can help ease the pain and fatigue associated with fibromyalgia.

They are often prescribed as part of the treatment plan.

Choice B is wrong because physical manifestations of the disease do not become progressively worse despite treatment.

Fibromyalgia is a chronic condition, but it does not damage the joints, muscles or organs.

Choice D is wrong because narcotic analgesia will not be used for long-term pain control. Opioid medications can cause significant side effects and dependence and will worsen the pain over time.

They are not recommended for fibromyalgia treatment.

A. Chronic ocular pain related to stress, fatigue, and certain triggers. B. Pain and sensitivity in the upper extremities and neck. C. Dull joint pain that accompanies physical exertion and which is relieved with rest. D. Eight tender points in the legs and arms; insomnia; and fatigue.

Correct Answer is D

Explanation

This is because fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Fibromyalgia often co-exists with other conditions, such as irritable bowel syndrome, chronic fatigue syndrome, migraine and other types of headaches. One of the main symptoms of fibromyalgia is widespread pain that has lasted for at least three months. To be considered widespread, the pain must occur on both sides of your body and above and below your waist. The pain could also be felt in specific areas called tender points. These are places on the body where even light pressure causes pain. There are 18 possible tender points on the body. Having pain in at least 11 of these points is one way to help diagnose fibromyalgia.

Choice A is wrong because chronic ocular pain related to stress, fatigue, and certain triggers is not a typical symptom of fibromyalgia.

Ocular pain is more likely to be caused by other conditions, such as dry eye syndrome, glaucoma, or eye infections.

Choice B is wrong because pain and sensitivity in the upper extremities and neck are not enough to indicate fibromyalgia. The pain must be widespread and affect both sides of the body and above and below the waist. Choice C is wrong because dull joint pain that accompanies physical exertion and which is relieved with rest is not a characteristic of fibromyalgia. The pain associated with fibromyalgia is often described as a constant dull ache that does not improve with rest. It may also be accompanied by other symptoms, such as fatigue, cognitive difficulties, and sleep problems.

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A client sees his primary care physician for complaints of fatigue. Bloodwork shows the client is anemic. Upon physical assessment, what signs would the provider expect to see? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new diagnosis of fibromyalgia. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

The nurse identifies chronic pain as an appropriate nursing priority (or problem/diagnosis) for a client with fibromyalgia. Which manifestation did the client most likely report that caused the nurse to select this priority?

Correct Answer is D

Explanation

A client sees his primary care physician for complaints of fatigue. Bloodwork shows the client is anemic. Upon physical assessment, what signs would the provider expect to see? (Select all that apply)

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A client sees his primary care physician for complaints of fatigue. Bloodwork shows the client is anemic.
Upon physical assessment, what signs would the provider expect to see? (Select all that apply)