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A nurse is planning to teach a client whose provider has prescribed a low-purine diet.

The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.).

Sardines.

Apricots.

Scallops.

Nuts.

Liver.

Answer and Explanation

Correct Answer : B,D

Apricots and nuts are low-purine foods that can be included in a low-purine diet.

Sardines are high in purine and should be limited or avoided.

Scallops are high in purine and should be limited or avoided.

Liver is high in purine and should be limited or avoided.

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Correct Answer is D

Explanation

The nurse should ask the client to empty his bladder prior to the procedure.
This is important because a full bladder can obstruct the area where the needle will be inserted and increase the risk of bladder injury during the procedure.
Choice A is incorrect because the client should be positioned sitting upright or lying in bed with the head of the bed elevated during the procedure.
Choice B is incorrect because administering a stool softener is not necessary following an abdominal paracentesis.
Choice C is incorrect because the client should be instructed to exhale and hold their breath during needle insertion to help move the diaphragm upward and away from the area where the needle will be inserted.

A. Distended abdomen. B. Clay-colored stools. C. Platelets 70,000/mm. D. Alkaline phosphatase 125 units/L.

Correct Answer is C

Explanation

Platelets 70,000/mm.
The priority finding for a nurse assessing a client who has cirrhosis to report is a platelet count of 70,000/mm.
A low platelet count (thrombocytopenia) can be a complication of cirrhosis and can increase the risk of bleeding.
A platelet count below 150,000/mm3 is considered low and should be reported to the provider.
Choice A is incorrect because while a distended abdomen can be a sign of ascites, a complication of cirrhosis, it is not the priority finding to report.
Choice B is incorrect because while clay-colored stools can be a sign of biliary obstruction, it is not the priority finding to report.
Choice D is incorrect because while an elevated alkaline phosphatase level can be a sign of liver damage, it is not the priority finding to report.

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A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?

Correct Answer is D

Explanation

A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?

Correct Answer is C

Explanation

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A nurse is planning to teach a client whose provider has prescribed a low-purine diet.

The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.).