A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases?

A. Teaching the client to use NSAIDs effectively: While NSAIDs can be used for mild to moderate pain, they are not the first choice for severe bone pain, especially in conditions like multiple myeloma. NSAIDs can also have adverse effects on kidney function, particularly in clients with compromised renal function, common in multiple myeloma.

B. Helping the client manage the opioid analgesic regimen: Severe bone pain in multiple myeloma is often best managed with opioids due to the intensity of the pain. The nurse should prioritize ensuring the client is using the opioid analgesic regimen effectively and safely to control the pain while minimizing side effects and risk of addiction.

C. Implementing distraction techniques: Distraction techniques can help with mild to moderate pain, but they are not sufficient for managing severe pain from conditions like multiple myeloma. Pharmacologic pain management is more appropriate for severe pain.

D. Educating the client about the effective use of hot and cold packs: Hot and cold packs can provide temporary relief for some types of pain, but they are not sufficient for managing the severe bone pain associated with multiple myeloma. Pharmacologic management is the priority intervention.

A. Try jogging or running between flare-ups: High-impact exercises such as jogging or running can exacerbate fibromyalgia symptoms. Low-impact exercises, such as walking, swimming, or yoga, are better tolerated by clients with fibromyalgia and are recommended.

B. Establish a regular sleep pattern: Sleep disturbances are common in individuals with fibromyalgia, and poor sleep can worsen symptoms. Establishing a regular sleep pattern is crucial to help manage pain and fatigue associated with the condition.

C. Increase calcium intake: While calcium is important for overall health, increasing calcium intake does not help manage fibromyalgia symptoms. Focus should be on a balanced diet and managing symptoms through appropriate exercise, sleep, and pain management.

D. Avoid exercise during flare-ups: Exercise is important for managing fibromyalgia symptoms, even during flare-ups, but it should be adjusted to the client’s tolerance. Light, low-impact activities like stretching or walking can help reduce symptoms during flare-ups rather than complete inactivity.