Deck 30: Fatigue

Question 1

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

Answer 1

Workers reaching up to high shelf often to obtain cleaning supplies
Workers bending over to lift boxes onto conveyer belt
Workers standing for long periods

Question 2

A patient presents to the clinic complaining of nausea, vomiting, and fatigue. Lab results reveal elevated BUN and creatinine levels. Which acute condition is this patient at most risk for developing?

A) Influenza
B) Mononucleosis
C) Acute renal failure
D) Pneumonia

Answer 2

Acute renal failure

Question 3

The nurse is caring for a patient diagnosed with amyotrophic lateral sclerosis. The nurse should assess for which priority problem?

A) Fatigue
B) Bradypnea
C) Hypertension
D) Fall risk

Answer 3

Bradypnea

Question 4

The nurse palpates swollen nodes in a patient's neck who presented to the clinic with complaints of fatigue lasting at least 2 weeks. What is the nurse's best action?

A) Advise patient this finding is normal.
B) Review patient's thyroid labwork.
C) Perform deep tendon reflexes.
D) Notify the healthcare provider.

Question 5

A patient has been recently diagnosed with chronic fatigue syndrome and asks the nurse about the cause of this illness. What is the nurse's best response?

A) "The provider will be able to tell you when the lab results are back."
B) "An exact cause may not be determined, but a treatment plan will be discussed."
C) "Stress is the main cause; a referral to a counselor may be helpful."
D) "This is considered a psychiatric illness requiring behavioral medicine."

Question 6

Based on the significant effects of chronic idiopathic fatigue, what is the nurse's priority assessment?

A) Cholesterol level and lipid profile
B) Creatinine and BUN levels
C) Memory loss testing
D) Mental health evaluation

Question 7

Which are treatment related causes of fatigue? (Select all that apply.)

A) Blood transfusion
B) Chemotherapy
C) Radiation therapy
D) Surgery
E) Side effects of medications

Question 8

A patient with chronic kidney disease is most likely to complain of which symptom?

A) Fatigue
B) Thirst
C) Constipation
D) Excess bleeding

Question 9

The nurse recognizes that which patients are at highest risk for physiologic fatigue? (Select all that apply.)

A) Parents of a newborn
B) Adolesent with anorexia
C) 25-year-old pregnant female
D)Grandmother who takes 1/2 mile walks
E) Businessman who consumes six cups coffee/day

Question 10

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 11

The nurse is assessing for fatigue in a patient diagnosed with multiple sclerosis. Which self -reporting tool is best for the nurse to utilize?

A) Multidimensional Assessment of Fatigue (MAF)
B) Fatigue Severity Scale (FSS)
C) Brief Fatigue Inventory (BFI)
D) Multidimensional Fatigue Inventory (MFI)