The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)

History of rheumatologic conditions

Nutritional deficiency

Previous injury to the bone

Deep sleep deprivation

Physical and emotional trauma

Answer and Explanation

Correct Answer : A,D,E

Choice A rationale:
History of rheumatologic conditions: Research has demonstrated a link between fibromyalgia and other rheumatologic conditions, such as rheumatoid arthritis, lupus, and osteoarthritis. Individuals with these conditions may have a predisposition to developing fibromyalgia due to shared genetic factors, immune system dysregulation, and chronic inflammation.
Choice B rationale:
Nutritional deficiency: While nutritional deficiencies, particularly in vitamin D, magnesium, and iron, have been associated with fibromyalgia symptoms, there's not enough evidence to establish them as direct risk factors for its development.
Nutritional deficiencies can worsen pain and fatigue, but they aren't considered primary causes of fibromyalgia.
Choice C rationale:

Previous injury to the bone: Past bone injuries typically aren't considered a risk factor for fibromyalgia. Fibromyalgia is a chronic pain syndrome that affects muscles and soft tissues, not bones themselves. While pain from an injury might trigger fibromyalgia symptoms, it's not a direct cause.
Choice D rationale:
Deep sleep deprivation: Sleep disturbances, especially disruptions in deep sleep (also known as slow-wave sleep), are strongly linked to fibromyalgia. Deep sleep is crucial for restorative processes in the body, including pain regulation. Insufficient deep sleep can lead to heightened pain sensitivity and contribute to the development of fibromyalgia.
Choice E rationale:
Physical and emotional trauma: Physical and emotional trauma, such as experiencing accidents, abuse, or significant psychological stress, can significantly increase the risk of developing fibromyalgia. Trauma can trigger changes in the brain's pain processing pathways and stress hormone regulation, contributing to chronic pain and other fibromyalgia symptoms.

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Correct Answer is B

Explanation

Choice A rationale:
Delivering meal trays to clients in their rooms is a simple task that does not require any specialized skills or knowledge. Volunteers can be safely assigned this task, as it does not involve any direct patient care or decision-making.

Choice B rationale:
Observing postoperative clients who are confused requires a higher level of skill and knowledge than delivering meal trays. Volunteers are not typically trained to assess and monitor patients for changes in their condition, and they may not be able to recognize and respond to potential emergencies. This task is best assigned to a licensed nurse or other qualified healthcare professional.

Choice C rationale:
Assisting ambulatory clients with meals is another task that can be safely assigned to volunteers. This task involves helping patients with simple activities such as opening food containers and cutting food. Volunteers can be trained to perform these tasks safely and effectively.

Choice D rationale:
Delivering mail is a simple task that does not require any specialized skills or knowledge. Volunteers can be safely assigned this task, as it does not involve any direct patient care or decision-making.

A. Hold the client's arms and legs from moving B. Place the client back in bed C. Place the client on his side D. Insert a tongue blade in the client's mouth

Correct Answer is C

Explanation

Choice A rationale:
Holding the client's arms and legs from moving during a seizure can actually cause injury to the client or the nurse. The forceful muscle contractions that occur during a seizure can cause bones to break or joints to dislocate. Additionally, trying to restrain the client can increase their agitation and make the seizure worse.

Choice B rationale:
Placing the client back in bed during a seizure is not safe. The client could fall out of bed and injure themselves. It is also important to allow the client to have space to move freely during the seizure to prevent injury.

Choice C rationale:

Placing the client on their side is the safest position for a client who is having a seizure. This position helps to protect the airway and prevent aspiration. It also allows any fluids or secretions to drain out of the mouth, which can help prevent choking.

Choice D rationale:
Inserting a tongue blade into the client's mouth during a seizure is not recommended. It is a common misconception that people can swallow their tongue during a seizure. This is not possible. Inserting a tongue blade can actually cause more harm than good. It can break teeth, damage the mouth, or even block the airway.

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The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?

Correct Answer is B

Explanation

A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

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A client comes to the clinic with a complaint of pain in the right great toe and is eventually diagnosed with gout. When planning teaching for this client, what management technique should the nurse emphasize?

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

The nurse is caring for a group of patients on a medical surgical unit. Which of the following patients is at most risk for developing gout?

The nurse is providing discharge instructions to a patient who has a prescription for phenytoin. Which of the following information should the nurse include?