A client with fibromyalgia asks the nurse to arrange for hospice care to help manage the severe, chronic pain. Which intervention should the nurse provide to address the client's problem?
Arrange an appointment with a pain specialist.
Form an interdisciplinary team for evaluation.
Contact a hospice nurse for an evaluation.
Ask for a consultation with a psychologist.
The Correct Answer is A
Rationale:
A. Arrange an appointment with a pain specialist: A pain specialist can provide comprehensive strategies for managing chronic pain related to fibromyalgia. This includes pharmacologic and non-pharmacologic options tailored to the client's needs.
B. Form an interdisciplinary team for evaluation: While helpful in complex cases, a full team may not be necessary as the first step. It may delay direct pain management support that a pain specialist could initiate more quickly. Interdisciplinary care may follow specialist input.
C. Contact a hospice nurse for an evaluation: Hospice care is intended for clients with terminal illnesses and a life expectancy of six months or less. Fibromyalgia is a chronic, non-fatal condition, so this request indicates a need for pain support, not end-of-life care.
D. Ask for a consultation with a psychologist: A psychologist can help address emotional responses to chronic pain, but cannot directly manage physical symptoms. This should be a supportive measure after physical pain is addressed by a medical pain expert.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Aspiration: Aspiration is typically a concern in clients with impaired swallowing, reduced consciousness, or neurologic disorders. Elevated parathyroid hormone (PTH) does not directly affect swallowing function or airway protection.
B. Falls: Elevated PTH levels cause hypercalcemia, which can lead to muscle weakness, fatigue, confusion, and bone demineralization. These effects increase the client’s risk for falls and fractures, making fall prevention a key safety priority.
C. Suicide: While chronic illness can impact mood, elevated PTH levels are not directly associated with suicidal ideation. Psychiatric monitoring is important but not the primary safety focus in this case.
D. Hypothermia: PTH imbalance does not significantly affect thermoregulation. Hypothermia is not a typical complication of elevated PTH levels and does not require focused preventive measures in this scenario.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. The client should be monitored closely for persistent nausea or vomiting: While relevant, this is a nursing action and not critical SBAR content unless complications arise. It's not essential in a handoff unless persistent or severe.
B. A large number of family members are in the surgical waiting area: This is not directly relevant to the client’s clinical condition or care priorities, and does not belong in an SBAR handoff unless family poses an immediate concern.
C. A patient controlled analgesic (PCA) pump is prescribed and needs to be started as soon as possible: This is critical treatment information for continuity of pain management and should be communicated clearly during the SBAR handoff.
D. Surgical dressing is clean, dry, and intact and neurovascular status is within normal limits: Postoperative wound and neurovascular assessment findings are essential for monitoring surgical outcomes and early complications.
E. Client history includes heart failure and aphasia from a previous stroke: Medical history directly influences postoperative care decisions and risk for complications; it must be included in the background section of SBAR.
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