After the nurse has taught a 28-year-old with fibromyalgia, which ...

[RODY.ELKHALIL]

After the nurse has taught a 28-year-old with fibromyalgia, which statement by the patient indicates a good understanding of effective self-management?
 
  a. I am going to join a soccer team to get more exercise.
  b. I will need to stop drinking so much coffee and soda.
  c. I will call the doctor every time my symptoms get worse.
  d. I should avoid using over-the-counter medications for pain.

Question 2

Which information will the nurse include when teaching a patient with newly diagnosed chronic fatigue syndrome about self-management?
 
  a. Avoid use of over-the-counter antihistamines or decongestants.
  b. A low-residue, low-fiber diet will reduce any abdominal distention.
  c. A gradual increase in your daily exercise may help decrease fatigue.
  d. Chronic fatigue syndrome usually progresses as patients become older.

[asware1]

Answer to Question 1

ANS: B
Dietitians frequently suggest that patients with fibromyalgia limit their intake of caffeine and sugar because these substances are muscle irritants. Mild exercise such as walking is recommended for patients with fibromyalgia, but vigorous exercise is likely to make symptoms worse. Because symptoms may fluctuate from day to day, the patient should be able to adapt the regimen independently, rather than calling the provider whenever symptoms get worse. Over-the-counter medications such as ibuprofen and acetaminophen are frequently used for symptom management.

Answer to Question 2

ANS: C
A graduated exercise program is recommended to avoid fatigue while encouraging ongoing activity. Because many patients with chronic fatigue syndrome have allergies, antihistamines and decongestants are used to treat allergy symptoms. A high-fiber diet is recommended. Chronic fatigue syndrome usually does not progress.