The patient is a 74-year-old female with generalized fatigue.

She is at the doctor's office for a follow-up visit.

Patient's chart:. Vital signs: all within normal ranges.

Medications: famotidine, duloxetine, lisinopril.

During a follow-up visit, the client diagnosed with fibromyalgia is concerned about always feeling tired.

Which response should the nurse make to this client?.

"You are fatigued because you sleep too many hours.”.

"Have you thought about getting a new mattress.”.

"Do you use electronics at bedtime.”.

"Your fatigue is most likely due to a sleep disturbance such as insomnia.”.

"Have you been worried about anything in particular?".

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:
An active lifestyle is generally not associated with an increased risk of cholelithiasis.
Choice B rationale:
Being female is a risk factor for cholelithiasis.
Choice C rationale:
Obesity is a well-known risk factor for cholelithiasis.
Choice D rationale:
A low-fat diet is generally not associated with an increased risk of cholelithiasis.
Choice E rationale:
Estrogen therapy can increase the risk of cholelithiasis.

A. "When carrying an object I will hold it close to my body.”. B. "I will pick up objects with my arms or leg muscles.”. C. "I will carry my laundry basket with the tip of my fingers.”. D. "I will bend at the knees when picking up an item from the floor.”.

Correct Answer is C

Explanation

Choice A rationale:
Holding an object close to the body can help distribute the weight evenly and reduce strain on the joints, which is beneficial for someone with Rheumatoid arthritis.
Choice B rationale:
Using larger muscle groups like the arms and legs can help reduce the strain on smaller, more sensitive joints.
Choice C rationale:
Carrying a laundry basket with the tips of the fingers can put unnecessary strain on the finger joints, which can exacerbate symptoms of Rheumatoid arthritis.
Choice D rationale:
Bending at the knees, rather than the waist, can help protect the back and maintain balance when picking up an item from the floor.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in the Med-surgical unit is caring for a client with choliathiasis. Which of the following risk factors are most associated with choliathiasis? (Select All that Apply.).

Correct Answer is ["B","C","E"]

Explanation

The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

Correct Answer is C

Explanation

A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Exhibits Based on the client's prescribed medications, the nurse should assess the client for developing? Select All that Apply

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

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).

A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

A nurse is preparing dietary instructions for a client who has a past medical history of Gout. Which dietary instructions are most important to include in the patient teaching?.

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?.