A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?
"I will take one aspirin every day.”.
"I will closely follow a high-purine diet.”.
"I will limit my fluid intake to 1 liter per day.”.
"I will limit my alcohol intake.”.
The Correct Answer is D
Choice A rationale:
Aspirin is not typically recommended for gout due to its potential to elevate uric acid levels.
Choice B rationale:
A high-purine diet can exacerbate gout symptoms, so this statement is incorrect.
Choice C rationale:
Limiting fluid intake can lead to dehydration, which can trigger a gout attack.
Choice D rationale:
Alcohol, especially beer, can increase uric acid levels and trigger gout attacks, so limiting alcohol intake is recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
While it’s important for someone with AIDS to avoid potential sources of infection, food preparation can be done safely with proper precautions.
Choice B rationale:
Disinfecting equipment for 24 hours is not a standard practice. Standard cleaning procedures with appropriate disinfectants are usually sufficient.
Choice C rationale:
Good household cleaning practices can help prevent the spread of infection, which is crucial for someone with AIDS due to their compromised immune system.
Choice D rationale:
Burning soiled dressings is not a recommended practice. Soiled dressings should be disposed of properly in a biohazard waste bag.
Correct Answer is A
Explanation
Choice A rationale:
Hemoglobin of 10 g/dL and hematocrit of 30% are lower than the normal ranges (Hemoglobin: 13.5-17.5 g/dL for men, 12.0-15.5 g/dL for women; Hematocrit: 38.8-50.0% for men, 34.9-44.5% for women). This can lead to cellular hypoxia as there are fewer red blood cells to carry oxygen.
Choice B rationale:
These lab values do not directly indicate a risk for prolonged bleeding.
Choice C rationale:
These lab values do not directly indicate a risk for fluid retention.
Choice D rationale:
While severe anemia can affect the immune response, these values do not directly indicate impaired immunity.
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