A nurse is providing teaching to a client diagnosed with fibromyalgia.

Which of the following client statements indicates an understanding of the teaching?.

"I should avoid stressful situations.”.

"I should increase my caffeine intake.”.

"Treatment with steroids should provide a cure.”.

"I will stop taking my duloxetine as soon as I feel better to avoid side effects.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Avoiding stressful situations can help manage fibromyalgia symptoms as stress can exacerbate the condition.
Choice B rationale:
Increasing caffeine intake is not recommended as it can interfere with sleep, which is crucial for managing fibromyalgia.
Choice C rationale:
Steroids are not a standard treatment for fibromyalgia and they do not provide a cure.
Choice D rationale:
Duloxetine is an antidepressant used to treat fibromyalgia symptoms. It should not be stopped abruptly without consulting a healthcare provider.

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Correct Answer is A

Explanation

Choice A rationale:

A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.

Choice B rationale:

A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.

Choice C rationale:

Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.

So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.

A. Swan neck deformity and enlarged joints. B. Heberden and Bouchard nodes. C. Boutonniere and joint swelling. D. Pain at rest and crepitus.

Correct Answer is B

Explanation

Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.

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A nurse is providing teaching to a client diagnosed with fibromyalgia. Which of the following client statements indicates an understanding of the teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

Correct Answer is B

Explanation

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A nurse is providing teaching to a client diagnosed with fibromyalgia.

Which of the following client statements indicates an understanding of the teaching?.