A nurse is caring for a client who has fibromyalgia and chronic pain. Which of the following should the nurse recommend as an alternative method of treatment?
Have the client identify stressful situations.
Encourage the client to participate in yoga.
Instruct the client to limit visitors.
Advise the client to take walks regularly.
The Correct Answer is B
A. Have the client identify stressful situations: While identifying stressful situations is important for stress management, it is not a specific treatment method for fibromyalgia. Stress reduction is part of management but is not the primary intervention for chronic pain.
B. Encourage the client to participate in yoga: Yoga is an excellent alternative treatment for fibromyalgia and chronic pain. It helps improve flexibility, reduce stress, and promote relaxation. It has been shown to improve pain, sleep, and quality of life for individuals with fibromyalgia.
C. Instruct the client to limit visitors: Limiting visitors is not a standard recommendation for treating fibromyalgia. Social support can be beneficial for emotional well-being, and there is no evidence suggesting that limiting social interactions improves fibromyalgia symptoms.
D. Advise the client to take walks regularly: Light physical activity like walking can be helpful for overall health. While walking can be part of an overall exercise plan, yoga is more directly beneficial for chronic pain in fibromyalgia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypotension: While hypotension can be a concern with opioid use, it is less immediately life-threatening compared to respiratory depression, which is the most dangerous side effect of morphine. Monitoring BP is important, but the priority is airway and breathing.
B. Bradycardia: Bradycardia is a possible side effect of morphine, but it does not usually present an immediate risk to the client's life unless it is severe. Respiratory depression poses a greater risk to the client’s oxygenation status.
C. Bradypnea: Bradypnea (slow breathing) is the most critical concern when a client is receiving morphine. Opioids like morphine can cause respiratory depression, which can be life-threatening. This should be the nurse's priority to assess and address immediately.
D. Pruritus: Pruritus (itching) is a common side effect of morphine, but it is not life-threatening. While it can be uncomfortable, it does not require immediate intervention compared to respiratory depression.
Correct Answer is C
Explanation
A. Constipation: While constipation is a common symptom in terminally ill clients, it is a manageable condition that does not necessarily indicate the need for palliative care. It can be addressed with medication and lifestyle adjustments.
B. Serum albumin 5.2 g/dL (3.5 to 5 g/dL): This is within normal range and does not suggest a need for palliative care. Normal albumin levels indicate adequate nutritional status and liver function, so there is no immediate indication for palliative care based on this finding.
C. Apnea alternating with hyperventilation: Apnea alternating with hyperventilation is a sign of impending respiratory failure, which can be a symptom of terminal illness and often occurs in the final stages of life. This indicates that the client may benefit from palliative care to address comfort and end-of-life needs.
D. Peripheral edema: Peripheral edema can occur due to causes such as heart failure or kidney dysfunction. While it can be distressing, it does not necessarily indicate that palliative care is required. It can be treated with medical interventions and does not imply end-of-life.
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