A nurse is caring for a client with chronic fatigue syndrome.

Which of the following criteria were used to assist in making this diagnosis? Select all that apply.

Not caused by a primary condition.

Recent exposure to influenza.

Unrefreshed after adequate sleep.

Not relieved by stress reduction.

Severe tiredness for 2 months or more.

Answer and Explanation

Correct Answer : A,C,D,E

These are some of the criteria used to assist in making the diagnosis of chronic fatigue syndrome (CFS) according to the Institute of Medicine (IOM) 2015 report.

Choice B is wrong because recent exposure to influenza is not a criterion for CFS diagnosis. Although some cases of CFS may be triggered by viral infections, such as Epstein-Barr virus or human herpes virus 6, there is no specific evidence that influenza causes CFS.

Choice A is correct because CFS is not caused by a primary condition. CFS is a diagnosis of exclusion, meaning that other possible causes of fatigue, such as sleep disorders, anemia, diabetes, thyroid problems, or mental health issues, must be ruled out before making the diagnosis.

Choice C is correct because unrefreshing sleep is one of the required symptoms for CFS diagnosis. Patients with CFS may not feel better or less tired even after a full night of sleep despite the absence of specific objective sleep alterations. Choice D is correct because fatigue that is not relieved by stress reduction is another required symptom for CFS diagnosis. Patients with CFS experience post-exertional malaise (PEM), which means that their symptoms worsen after physical, mental, or emotional exertion that would not have caused a problem before the illness.

Choice E is correct because severe tiredness for 2 months or more is one of the additional manifestations that must be present for CFS diagnosis. The IOM 2015 report states that the fatigue associated with CFS must last for more than 6 months and occur at least half the time at moderate, substantial or severe intensity.

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Correct Answer is C

Explanation

This action is intended to prevent a sentinel event, which is a patient safety event that results in death, permanent harm, or severe temporary harm. A sentinel event is a serious adverse event that signals the need for immediate investigation and response. Removing the wrong arm would be a devastating and irreversible outcome for the patient and the health care provider.

Choice A is wrong because the lack of healing of the stump is not a sentinel event. It is a possible complication of amputation that may be related to the natural course of the patient’s illness or underlying condition.

Choice B is wrong because ineffective control of the client’s pain is not a sentinel event. It is a quality of care issue that may affect the patient’s comfort and recovery, but it does not result in death, permanent harm, or severe temporary harm.

Choice D is wrong because the client being mildly sedated is not a sentinel event. It is a level of anesthesia that may be appropriate for some types of surgery, but it does not result in death, permanent harm, or severe temporary harm.

A. Avoid taking antidepressant medications during treatment. B. Physical manifestations of the disease become progressively worse despite treatment. C. Low-impact aerobics can help reduce episodes of pain. D. Narcotic analgesia will be used for long-term pain control.

Correct Answer is C

Explanation

According to Mayo Clinic, physical therapy and exercises can improve strength, flexibility and stamina for people with fibromyalgia.

Low-impact aerobics, such as swimming or biking, are recommended as they are less likely to cause muscle soreness or injury.

Choice A is wrong because antidepressant medications can help ease the pain and fatigue associated with fibromyalgia.

They are often prescribed as part of the treatment plan.

Choice B is wrong because physical manifestations of the disease do not become progressively worse despite treatment.

Fibromyalgia is a chronic condition, but it does not damage the joints, muscles or organs.

Choice D is wrong because narcotic analgesia will not be used for long-term pain control. Opioid medications can cause significant side effects and dependence and will worsen the pain over time.

They are not recommended for fibromyalgia treatment.

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A nurse is caring for a client with chronic fatigue syndrome. Which of the following criteria were used to assist in making this diagnosis? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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A nurse is caring for a client with chronic fatigue syndrome.

Which of the following criteria were used to assist in making this diagnosis? Select all that apply.