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?".
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Reassess the incision site for bleeding. This task requires clinical judgment and should be performed by the nurse.
Choice B rationale:
Increase the client’s IV fluids. This task involves medication administration and should be performed by the nurse.
Choice C rationale:
Administer p.o. pain medication. This task involves medication administration and should be performed by the nurse.
Choice D rationale:
Assist the client to the bathroom. This is a task that can be safely delegated to unlicensed assistive personnel.
Correct Answer is D
Explanation
Choice A rationale:
While inflammation in the joints is a symptom of rheumatoid arthritis, it is not a contraindication for taking aspirin.
Choice B rationale:
Joint pain that is not relieved with rest is a common symptom of rheumatoid arthritis, but it is not a contraindication for taking aspirin.
Choice C rationale:
A recent headache is not a contraindication for taking aspirin. In fact, aspirin is often used to relieve headaches.
Choice D rationale:
Bloody stools can be a sign of gastrointestinal bleeding, which can be exacerbated by aspirin use due to its blood-thinning properties.
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