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 A
Explanation
Choice A rationale:
Basal cell carcinoma often presents as a raised, flesh-colored lesion with pearly white borders. This is the most common type of skin cancer.
Choice B rationale:
Squamous cell carcinoma typically appears as a firm, red nodule or a flat lesion with a scaly, crusted surface, not a raised, flesh-colored lesion with pearly white borders.
Choice C rationale:
Malignant melanoma is usually a large brownish spot with darker speckles, not a raised, flesh-colored lesion with pearly white borders.
Choice D rationale:
Actinic keratosis appears as rough, scaly patches on sun-exposed areas of the skin, not a raised, flesh-colored lesion with pearly white borders.
Correct Answer is D
Explanation
Choice A rationale:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.
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