A nurse is caring for a client who has fibromyalgia and chronic pain. Which of the following should the nurse recommend as an alternative method of treatment?

Have the client identify stressful situations.

Encourage the client to participate in yoga.

Instruct the client to limit visitors.

Advise the client to take walks regularly.

Answer and Explanation

The Correct Answer is B

A. Have the client identify stressful situations: While identifying stressful situations is important for stress management, it is not a specific treatment method for fibromyalgia. Stress reduction is part of management but is not the primary intervention for chronic pain.

B. Encourage the client to participate in yoga: Yoga is an excellent alternative treatment for fibromyalgia and chronic pain. It helps improve flexibility, reduce stress, and promote relaxation. It has been shown to improve pain, sleep, and quality of life for individuals with fibromyalgia.

C. Instruct the client to limit visitors: Limiting visitors is not a standard recommendation for treating fibromyalgia. Social support can be beneficial for emotional well-being, and there is no evidence suggesting that limiting social interactions improves fibromyalgia symptoms.

D. Advise the client to take walks regularly: Light physical activity like walking can be helpful for overall health. While walking can be part of an overall exercise plan, yoga is more directly beneficial for chronic pain in fibromyalgia.

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Correct Answer is C

Explanation

A. Clients who are intubated are kept in the supine position: Keeping intubated clients in supine position increases the risk of ventilator-associated pneumonia. Elevating the head of the bed to 30-45 degrees is recommended to prevent aspiration and reduce the risk of infections.

B. Central lines are inserted into the femoral vein for clients who are obese: Inserting central lines into the femoral vein is generally avoided because it increases the risk of infection and complications, especially in obese clients. The jugular or subclavian veins are preferred.

C. Clients who have an indwelling urinary catheter are assessed daily to determine if it is still needed: Regular assessment of the necessity of an indwelling urinary catheter is an evidence-based practice to reduce catheter-associated urinary tract infections (CAUTI).

D. Nurses perform hand hygiene for 10 seconds before completing tasks: The recommended duration for hand hygiene is at least 20 seconds to effectively remove pathogens. A 10-second duration is insufficient to prevent the transmission of infections.

A. Provide a low-residue diet. B. Administer a rectal suppository. C. Instruct the client to use a soft-bristled toothbrush. D. Encourage the client to use a safety razor when shaving.

Correct Answer is C

Explanation

A. Provide a low-residue diet: A low-residue diet is not directly related to managing thrombocytopenia. The priority for clients with thrombocytopenia is preventing bleeding, so dietary recommendations should focus on avoiding foods that can cause injury or irritation.

B. Administer a rectal suppository: Rectal suppositories should be avoided in clients with thrombocytopenia because they can cause trauma to the rectal mucosa and lead to bleeding due to the low platelet count.

C. Instruct the client to use a soft-bristled toothbrush: A soft-bristled toothbrush is important for clients with thrombocytopenia to prevent gum injury and bleeding. It minimizes the risk of oral bleeding while maintaining good oral hygiene.

D. Encourage the client to use a safety razor when shaving: A safety razor should not be recommended for clients with thrombocytopenia because it can cause cuts and bleeding. An electric razor is a safer alternative to minimize the risk of injury.

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A nurse is caring for a client who has fibromyalgia and chronic pain. Which of the following should the nurse recommend as an alternative method of treatment?

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