Patient is 74 y/o female with generalized fatigue. She is at doctors office for follow up visit.
During a follow up visit, the client diagnosed with fibromyalgia is concerned about always feeling tired. Which response should the nurse make to this client?
"You are fatigued because you sleep too many hours."
"Have you thought about getting a new mattress."
"Have you been worried about anything in particular?"
Your fatigue is most likely due to sleep a disturbance such as insomnia"
"Do you use electronics at bedtime."
The Correct Answer is D
A. Telling the patient that fatigue is due to sleeping too many hours is not a helpful response, as it does not address the potential causes of fatigue related to fibromyalgia.
B. While a new mattress could be helpful for some individuals, it doesn’t directly address the underlying issue of fatigue seen with fibromyalgia.
C. Asking about worry is a good assessment question, but fibromyalgia-related fatigue is more commonly linked to sleep disturbances rather than emotional distress alone.
D. Fatigue in fibromyalgia is often linked to poor sleep quality, including insomnia, which can be exacerbated by pain and other symptoms of the condition. This response directly addresses a common cause of fatigue in fibromyalgia.
E. Electronics at bedtime could affect sleep quality, but insomnia is a more common and specific concern related to fatigue in fibromyalgia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
In clients with systemic lupus erythematosus (SLE), medications such as prednisone (a corticosteroid) are often prescribed to manage inflammation. Corticosteroids like prednisone can cause weight gain and hyperglycemia as common side effects. This is due to fluid retention, increased appetite, and a rise in blood sugar levels.
Weight loss and hypoglycemia are less likely outcomes from corticosteroid therapy. While weight loss can occur with some chronic diseases, corticosteroid use typically leads to weight gain. Hyperglycemia is a well-known side effect of steroids, and it is important for the nurse to monitor blood glucose levels in patients receiving these medications.
Correct Answer is C
Explanation
A. Increasing caffeine intake may disrupt sleep and exacerbate symptoms in clients with fibromyalgia, so it is not recommended.
B. Duloxetine is used to manage fibromyalgia symptoms, and stopping the medication without consulting a healthcare provider could lead to withdrawal or worsening of symptoms.
C. Stress is a known trigger for fibromyalgia flare-ups, so avoiding stressful situations can help manage the condition.
D. Steroids may be used for inflammation but do not cure fibromyalgia, which is a chronic condition.
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