The nurse knows which of the following clients listed below is ...

[lracut11]

The nurse knows which of the following clients listed below is most likely to exhibit clinical manifestations of chronic fatigue?
 
  A)
  A client with a diagnosis of multiple sclerosis who has been admitted to the hospital for exacerbation of the disease process
  B)
  A hospitalized client with cellulitis to the lower leg
  C)
  A hospitalized client with a history of paraplegia with a necrotic ischial wound
  D)
  A hospitalized client admitted for a surgical repair of a rectovaginal fistula

Question 2

A patient who has been awaiting the results of a bone marrow biopsy for several days is experiencing stress as a result of uncertainty and the possibility that abnormal cell growth may be detected.
 
  A physical examination and blood work would most likely yield which of the following results?
  A)
  Increased respiratory rate; increased levels of testosterone
  B)
  Increased blood pressure and heart rate; increased antidiuretic hormone (ADH)
  C)
  Pupil dilation; increased somatomedin C
  D)
  Increased gastrointestinal motility; decreased thyroid-stimulating hormone

[flannelavenger]

Answer to Question 1

Ans:
A

Feedback:

Clients with neurological conditions such as multiple sclerosis are particularly likely to experience signs and symptoms associated with chronic fatigue. Infections, wounds, and surgery will cause fatigue but are less likely to contribute to the long-term presentation associated with chronic fatigue.

Answer to Question 2

Ans:
B

Feedback:

Increases in ADH, blood pressure, and heart rate are all associated with the stress response. Testosterone and somatomedin C are decreased in prolonged stress exposure. Gastrointestinal motility is decreased, not increased, during stress.

[lracut11]

Excellent

[pratush dev]

TYSM