A nurse is teaching a client who has fibromyalgia about self-care strategies for managing the disorder. Which of the following information should the nurse include in the teaching?

Avoid exercise during flare-ups.

Establish a regular sleep pattern.

Increase calcium intake.

Engage in yoga or running between flare-ups.

Answer and Explanation

The Correct Answer is B

Choice A reason : Avoiding exercise during flare-ups of fibromyalgia may seem intuitive to prevent exacerbating pain and fatigue. However, maintaining a gentle exercise routine, even during flare-ups, can help manage symptoms and prevent deconditioning¹.

Choice B reason : Establishing a regular sleep pattern is crucial for managing fibromyalgia. Poor sleep can exacerbate pain, fatigue, and cognitive difficulties commonly experienced with this condition. Good sleep hygiene practices can improve sleep quality and overall symptom management¹.

Choice C reason : While adequate calcium intake is essential for general health, there is no specific indication that increasing calcium intake alone would manage fibromyalgia symptoms. Nutritional needs should be addressed as part of a comprehensive approach to self-care¹.

Choice D reason : Yoga or running between flare-ups can be beneficial for clients with fibromyalgia. Regular exercise, including yoga, can improve pain, function, and quality of life. Running or other aerobic exercises can also be helpful if tolerated and done in moderation¹.

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Correct Answer is C

Explanation

Choice A reason : Methadone is an opioid used primarily for opioid maintenance therapy and to relieve severe pain, not typically for alcohol withdrawal. It does not address the specific symptoms associated with alcohol withdrawal such as seizures or delirium tremens¹.

Choice B reason : Salicylates, such as aspirin, are not used to treat alcohol withdrawal. They can increase the risk of bleeding, especially in the gastrointestinal tract, which can be a concern in individuals with a history of heavy alcohol use¹.

Choice C reason : Benzodiazepines, such as chlordiazepoxide, are the first-line treatment for alcohol withdrawal. They help reduce the risk of seizures, ease withdrawal symptoms, and can prevent the progression to more severe forms of withdrawal such as delirium tremens¹².

Choice D reason : Diphenhydramine is an antihistamine with sedative properties, but it is not a first-line medication for alcohol withdrawal. While it may provide some sedation, it does not prevent seizures or other serious complications of alcohol withdrawal¹.

A. A 40-year-old woman who came into the ER with a swollen, painful calf and now complains of chest pains and having trouble breathing, with tachycardia and tachypnea. B. A 60-year-old man who is tired and has been in the med-surg unit for 3 days with AKI after taking IV antibiotics. C. A 30-year-old man with a history of smoking and a sedentary lifestyle who had an appendectomy 1 day ago and is refusing to ambulate or wear compression stockings. D. A 55-year-old woman who came into the ER with chest pains, shortness of breath, nausea, tachypnea, and radiating jaw pain.

Correct Answer is A

Explanation

Choice A reason : The symptoms described for the 40-year-old woman align closely with the clinical presentation of a pulmonary embolism. Swelling and pain in the calf may indicate deep vein thrombosis (DVT), which can lead to PE. The presence of chest pain, difficulty breathing, rapid heart rate (tachycardia), and rapid breathing (tachypnea) are hallmark signs of PE³⁴.

Choice B reason : While the 60-year-old man is experiencing fatigue, which can be a symptom of many conditions, there is no direct indication of PE. Acute kidney injury (AKI) after IV antibiotics suggests a different pathophysiology unrelated to PE.

Choice C reason : The 30-year-old man's refusal to ambulate or wear compression stockings after surgery increases his risk for DVT and subsequently PE; however, he does not currently exhibit symptoms that are as indicative of PE as the 40-year-old woman.

Choice D reason : The 55-year-old woman's symptoms could suggest a cardiac event, such as a heart attack, especially with the radiating jaw pain. While PE can present with similar symptoms, the radiating pain is more characteristic of cardiac issues³.

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A nurse is teaching a client who has fibromyalgia about self-care strategies for managing the disorder. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing manifestations of alcohol withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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