A nurse is providing teaching to a client who has a new diagnosis of fibromyalgia. Which of the following client statements indicates an understanding of the teaching?
"I should increase my caffeine intake."
"I will take my duloxetine in the morning so I have more energy to accomplish tasks."
"A course of chemotherapy treatment should provide a cure."
"Low-impact aerobics can help reduce episodes of pain."
The Correct Answer is D
Choice A is incorrect: Caffeine can worsen sleep disturbances, a common symptom of fibromyalgia.
Choice B is incorrect: While duloxetine is a medication used to manage fibromyalgia symptoms, taking it at a specific time for increased energy is not directly related to understanding the disease itself.
Choice C is incorrect: Fibromyalgia is a chronic condition with no cure. Chemotherapy is not indicated for its treatment.
Choice D is correct: Low-impact aerobics like walking, swimming, or yoga are recommended non-pharmacological interventions for fibromyalgia. They can improve cardiovascular health, flexibility, and pain management.
Additional notes:
Other non-pharmacological management strategies for fibromyalgia include stress management techniques, cognitive behavioral therapy, and adequate sleep hygiene.
Early and comprehensive management of fibromyalgia can significantly improve quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Providing a urine sample to determine therapeutic levels of phenytoin is not typically a part of routine discharge instructions. While monitoring of phenytoin levels is important, it's usually done through blood tests, and the frequency of testing is determined by the healthcare provider based on individual patient factors.
Choice C rationale:
Bleeding gums are not a common side effect of phenytoin. While some individuals might experience gum tenderness or overgrowth, significant bleeding is not expected.
Choice D rationale:
Antacids can actually interfere with the absorption of phenytoin, potentially reducing its effectiveness. Therefore, it's generally not recommended to take antacids regularly while on phenytoin therapy. If a patient needs to take an antacid for occasional heartburn or indigestion, it's best to take it at least 2 hours before or after the phenytoin dose.
Correct Answer is A
Explanation
Choice A rationale:
Fever is the most reliable early indicator of infection in a client with low WBC because it is a direct physiologic response to the presence of pathogens. When the body detects an infection, it releases pyrogens, which act on the hypothalamus to raise the body's temperature. This elevated temperature helps to create an environment that is less hospitable to bacteria and viruses, and it also stimulates the immune system to fight the infection.
In clients with low WBC, the immune system is already compromised, so the fever response may be even more pronounced. It's important to note that even a slight elevation in temperature (as low as 100.4°F or 38°C) can be significant in these clients.
Choice B rationale:
Chills can also be a sign of infection, but they are not as specific as fever. Chills can occur for other reasons, such as exposure to cold or anxiety.
Choice C rationale:
Tachycardia, or increased heart rate, can also be a sign of infection, but it is not as reliable as fever. Tachycardia can occur for other reasons, such as dehydration, pain, or anxiety.
Choice D rationale:
Dyspnea, or shortness of breath, is not a typical early sign of infection. It is more likely to occur in later stages of infection, when the infection has spread to the lungs.
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