A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

Whole wheat pasta

Broccoli

Shellfish

Cranberries

Answer and Explanation

The Correct Answer is C

A. Whole wheat pasta is not typically high in purines.

B. Broccoli is a vegetable and generally not high in purines.

C. Shellfish, such as shrimp, crab, and lobster, are high in purines and should be avoided by individuals with gout.
D. Cranberries are fruits and are generally low in purines.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Encouraging the client to cough and deep breathe helps to maintain clear airways and prevent respiratory infections.
B. Turning the client every 2 hours is important for preventing pressure ulcers and maintaining skin integrity.
C. Keeping the skin clean and dry helps to prevent skin breakdown and infections, serving as a barrier against pathogens.
D. Applying lotion to clean skin may keep the skin moisturized hence preventing skin breakdown.

E. Urinary incontinence is associated with skin breakdown hence the development of bedsores. Therefore, assisting the client with voiding is important for maintaining urinary function and skin integrity.

A. "I will wear gloves and gown when bathing a client with open skin lesions." B. "I will wear gloves when taking blood pressures on all clients." C. "I will wear gloves, gown, and an N95 mask while caring for a client with diarrhea." D. "I will wear gloves at all times when in contact with any clients."

Correct Answer is A

Explanation

A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.

B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.

C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.

D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.

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A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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