A nurse is planning the care of a client who has a long history of chronic pain, which has only recently been diagnosed as fibromyalgia. Which nursing diagnosis is most likely to apply to this client's care needs?

Ineffective role performance related to pain

Risk for infection related to tissue alterations

Risk for impaired skin integrity related to myalgia

Unilateral neglect related to neuropathic pain

Answer and Explanation

The Correct Answer is A

A. Ineffective role performance related to pain: Chronic pain, as seen in fibromyalgia, often affects a person's ability to perform daily activities and roles. Pain can impact physical, social, and occupational functioning, leading to feelings of inadequacy in role performance.

B. Risk for infection related to tissue alterations: Fibromyalgia is characterized by widespread musculoskeletal pain and tenderness, not tissue alterations like wounds or injuries, so the risk for infection is not directly related to fibromyalgia.

C. Risk for impaired skin integrity related to myalgia: Myalgia refers to muscle pain, and while fibromyalgia can cause muscle pain, it does not directly lead to impaired skin integrity. Skin issues are not a primary concern for fibromyalgia patients unless other factors are involved.

D. Unilateral neglect related to neuropathic pain: Unilateral neglect is typically associated with neurological conditions like stroke or brain injury, not fibromyalgia. Neuropathic pain can occur in fibromyalgia, but unilateral neglect does not accurately describe the condition's typical impact.

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Correct Answer is B

Explanation

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. Pigeon B. Funnel C. Barrel D. Kyphotic

Correct Answer is C

Explanation

A. Pigeon: A pigeon chest, or pectus carinatum, is a deformity where the breastbone protrudes outward; it is typically a congenital condition which is unrelated to COPD.

B. Funnel: A funnel chest, or pectus excavatum, is a condition where the breastbone is sunken or caved-in, and it is not typically seen in clients with COPD.

C. Barrel: A barrel chest is a classic finding in clients with COPD, particularly in emphysema. The hyperinflation of the lungs leads to an increase in the anterior-posterior chest diameter, resulting in a rounded, "barrel-shaped" chest.

D. Kyphotic: Kyphosis refers to an abnormal curvature of the spine, resulting in a rounded back. While this can affect posture, it is not a typical feature of COPD. The focus in COPD is on the chest shape related to lung hyperinflation (barrel chest).

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A nurse is planning the care of a client who has a long history of chronic pain, which has only recently been diagnosed as fibromyalgia. Which nursing diagnosis is most likely to apply to this client's care needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client with multiple myeloma. What intervention should the nurse prioritize when addressing the client's severe bone pain?

Correct Answer is B

Explanation

A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?

Correct Answer is C

Explanation

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