The nurse knows that an individual diagnosed with chronic fatigue ...

[Tirant22]

The nurse knows that an individual diagnosed with chronic fatigue syndrome (CFS) may complain of which of the following clinical manifestations listed below?
 
  A)
  Achy joints and muscles and low-grade temperature over the past few weeks
  B)
  Intense ringing in the ears when listening to music or watching TV
  C)
  Excessive thirst and hunger, especially late at night
  D)
  Excessive sleepiness and difficulty getting out of bed in the morning

Question 2

A 14-year-old boy is participating in his school's track meet; the outdoor temperature is 99 F, and a teacher has found the boy sitting restless in the shade and disoriented to time.
 
  The teacher notes that the student has dry skin in spite of the high temperature and the fact that he has recently completed a running event. The teacher calls for the school nurse, who will recognize which of the following potential diagnoses and anticipated hospital treatments?
  A)
  Heat exhaustion, likely treated with rest, shelter from the sun, and salt tablets
  B)
  Heat stroke, likely treated with submersion in cold water
  C)
  Heat stroke, likely treated with rehydration by intravenous hypotonic solution
  D)
  Heat exhaustion, likely treated with oral rehydration with cool water

[mrphibs]

Answer to Question 1

Ans:
A

Feedback:

Often CFS is preceded by a cold or flulike illness. Frequently, the person describes the illness as recurring, with periods of exacerbations and remissions. Ringing of the ears, excess thirst/hunger, and too much sleep are not usually associated with CFS.

Answer to Question 2

Ans:
B

Feedback:

Cognitive changes and lack of sweating are signs of heat stroke as opposed to heat exhaustion. A common treatment for heat stroke is immersion in cold water to rapidly decrease the core and shell temperature. Salt tablets, hypotonic IV rehydration, and oral water rehydration would not be appropriate treatments.