The nurse has four clients who are scheduled to see the physician for "fatigue" and other general symptom complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

Male of Hispanic descent, age 28 years

Female of African descent, age 42 years

Female of Chinese descent, age 18 years

Female of Caucasian descent age 47 years

Answer and Explanation

The Correct Answer is D

A. Male of Hispanic descent, age 28 years: While chronic fatigue syndrome (CFS) can affect anyone, it is less common in young males. This demographic is not considered to be at high statistical risk compared to others.
B. Female of African descent, age 42 years: Middle-aged women are at increased risk for CFS; however, epidemiological data show a higher prevalence among Caucasian women, especially in their 40s to 50s.
C. Female of Chinese descent, age 18 years: CFS is less frequently diagnosed in adolescents and young adults. While females are more commonly affected, age and ethnicity make this client a lower-risk candidate.
D. Female of Caucasian descent age 47 years: CFS most commonly affects middle-aged women, particularly those of Caucasian descent. This demographic profile aligns closely with known risk patterns for chronic fatigue syndrome.

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Correct Answer is B

Explanation

A. Attend a self-help group: Self-help groups offer emotional support and accountability, which are beneficial for those recovering from binge eating. They help reduce isolation and promote healthy coping strategies.
B. Stick to a strict diet plan: Rigid dieting increases the risk of relapse by creating a cycle of deprivation followed by loss of control. Binge eaters benefit more from flexible, balanced eating plans that promote sustainable habits and reduce food guilt.
C. Be cautious of sugar-free items: Some sugar-free products contain sugar alcohols that may cause digestive discomfort and trigger eating episodes. Awareness of food choices is important in managing physical and emotional reactions to food.
D. Remember recovery is a day-by-day process: Emphasizing gradual progress supports long-term change and reduces pressure. This mindset helps prevent discouragement and relapse, especially when setbacks occur.

A. Blood pressure of 104/62 mm Hg B. Respiratory rate of 18 breaths/min C. Temperature of 102.5 °F (39 °C) D. Pulse rate of 110 beats/min

Correct Answer is C

Explanation

A. Blood pressure of 104/62 mm Hg: This is a mild drop that may be expected under anesthesia and is usually well tolerated. It does not typically require urgent intervention.
B. Respiratory rate of 18 breaths/min: A normal respiratory rate during an intraoperative procedure (especially with ventilatory support) is not alarming and does not require immediate action.
C. Temperature of 102.5 °F (39 °C): A rapid temperature rise may indicate malignant hyperthermia, a life-threatening reaction to anesthesia. The anesthesiologist must be alerted immediately to initiate emergency treatment.
D. Pulse rate of 110 beats/min: This is mildly elevated and may occur due to pain, anxiety, or medications. It should be monitored but is not as urgent as a rising temperature during surgery.

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The nurse has four clients who are scheduled to see the physician for "fatigue" and other general symptom complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting a binge eater in establishing a dietary plan of care. What instruction is most likely to cause a relapse in behavior?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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