During a home visit, the family of a client with fibromyalgia ...

[kfurse]

During a home visit, the family of a client with fibromyalgia asks the nurse what they can do to help the client with painful episodes. What should the nurse suggest to the client and family?
 
  A) Protect the client from injury.
  B) Plan a family reunion.
  C) Divide household chores among each member of the family.
  D) Keep the client in bed.

Question 2

A client in sickle cell crisis reports taking a recent skiing trip that caused a respiratory infection from the cold weather. The client reports a pain level of 8 on a pain scale from 0 to 10.
 
  Which nursing diagnosis is a priority for this client?
  A) Fluid Volume Excess
  B) Risk for Self-Mutilation
  C) Knowledge Deficit
  D) Acute Pain

[kiamars2010]

Answer to Question 1

Answer: C

Although the causes and treatments are not all known, there is general agreement that reducing stress may help lessen the effects of fibromyalgia. The nurse could help the family by suggesting ways to decrease stress on the client by having the family pitch in on responsibilities. A family vacation might cause more stress to the client, who would more than likely be planning and packing. Keeping the client in bed would not be therapeutic. There is no reason to believe that this client is at higher risk for injury than another member of the family.

Answer to Question 2

Answer: D

The priority for this client would be pain. The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. This diagnosis, however, does not take priority. There is no evidence from the information given that the client has fluid volume excess or is at risk for self-mutilation.