Fatigue

Which clinical manifestations indicate chronic persistent stage of Lyme disease?

Arthritis and chronic fatigue; Lyme disease is a systematic infectious disease caused by borrelia burgdorferi.

A client reports disturbed sleep due to allergic pruritus. Which medication would help the client sleep and treat the allergic symptoms?

Chlorpheniramine; an antihistamine that helps manage allergic symptoms by preventing vasodilation. Sedation is a side effect so it's good for sleep issues too.

Which virus is responsible for causing infectious mononucleosis in patients?

Epstein-Barr virus is responsible for mononucleosis.

What clinical manifestations are associated with inhalation anthrax?

Fever, fatigue, and dry cough; inhalation anthrax is a bacterial infection caused by bacillus anthracis.

Which clinical manifestations indicate the prodromal stage in a client with inhalation anthrax?

Low-grade fever, fatigue, mild chest pain, dry harsh cough; inhalation anthrax is a two-stage illness, prodromal and fulminant. The prodromal stage is the early stage and is difficult to distinguish from influenza or pneumonia. A special feature of inhalation anthrax is that the infection does not accompany upper respiratory tract manifestations of sore throat or rhinitis.

The nurse teaches a client with multiple sclerosis methods to reduce fatigue. Which statement indicates an understanding of the education?

Rest in an air-conditioned room; Fatigue is common with MS. Lowering the body temperature by resting in an air-conditioned room may relieve fatigue. BUT they should avoid extreme cold.

Which sport (to encourage exercise and avoidance fatigue) is the most therapeutic for a preadolescent who has idiopathic scoliosis?

Swimming; The hyperextension required in swimming helps strengthen back muscles and necessitates deeper respirations, both of which are necessary before surgery and wearing a brace or cast.

What are two parts of an assessment for meningitis?

The Kernig sign (asking the child to straighten a leg that is bent at a 90-degree angle at the knee) and the Brudzinski sign (asking a child who is lying flat to bend his head and try to put his chin on his chest).

After a painful exacerbation of rheumatoid arthritis, a client is scheduled to begin a walking an exercise program. Which statement describes an expected outcome for this client?

Exercise and be active unless the discomfort becomes too great; Some pain is to be expected, but the activity should not be continued when the pain comes severe, because it can further traumatize the inflamed synovial membranes.

What nursing intervention would the nurse implement when providing care for pediatric clients with leukemia on chemotherapeutic protocols?

Having them avoid contact with infected persons; Chemotherapy and acute lymphoblastic leukemia all cause immunosuppression (Low white blood cells), thus increasing the risk for infection. Avoiding contact with infected persons is a necessary precaution.