Author Question: The nurse is assessing a patient for risk factors of chronic fatigue syndrome. Which factors should ... (Read 88 times)

jenna1 · **on:** Jul 22, 2018

The nurse is assessing a patient for risk factors of chronic fatigue syndrome. Which factors should the nurse identify as placing the patient at risk for chronic fatigue syndrome? (Select all that apply.)

a. Feeling tired upon awakening
b. Chronic migraines
c. Tenderness under the jaw
d. 5 episodes tonsillitis/past year
e. Swollen, painful knees

Question 2

The occupational health nurse is making rounds in a factory. Which employees need further education about energy conservation strategies?

a. Workers reaching up to high shelf often to obtain cleaning supplies
b. Workers bending over to lift boxes onto conveyer belt
c. Workers who have delegated out parts of their activities
d. Workers standing for long periods
e. Workers standing at desks at waist level

macagnavarro · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, C, D, E
The individual has severe chronic fatigue for 6 or more consecutive months that is not due to ongoing exertion or other medical conditions associated with fatigue (these other conditions need to be ruled out by a doctor after diagnostic tests have been conducted). The fatigue significantly interferes with daily activities and work. The individual concurrently has four or more of the following eight symptoms:
Post exertion malaise lasting more than 24 hours
Unrefreshing sleep
Significant impairment of short-term memory or concentration
Muscle pain
Multi-joint pain without swelling or redness
Headaches of a new type, pattern, or severity
Tender cervical or axillary lymph nodes
Frequent or recurring sore throat

Answer to Question 2

ANS: A, B, D
The employee health nurse should provide teaching to employees about energy conservation strategies to protect workers from job-related injuries. These strategies include: placing frequently used items within reach; using proper body mechanics (not bending over and straining the back); and standing for long periods of time. Delegating parts of activities is an appropriate energy conserving strategy. When standing is necessary, it is important that desks or tables are at waist level of the employee to prevent excess reaching or straining.