A nurse is providing teaching to a client diagnosed with fibromyalgia.
Which of the following client statements indicates an understanding of the teaching?.
"I should avoid stressful situations.”.
"I should increase my caffeine intake.”.
"Treatment with steroids should provide a cure.”.
"I will stop taking my duloxetine as soon as I feel better to avoid side effects.”.
The Correct Answer is A
Choice A rationale:
Avoiding stressful situations can help manage fibromyalgia symptoms as stress can exacerbate the condition.
Choice B rationale:
Increasing caffeine intake is not recommended as it can interfere with sleep, which is crucial for managing fibromyalgia.
Choice C rationale:
Steroids are not a standard treatment for fibromyalgia and they do not provide a cure.
Choice D rationale:
Duloxetine is an antidepressant used to treat fibromyalgia symptoms. It should not be stopped abruptly without consulting a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.
Correct Answer is B
Explanation
Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.
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