A nurse is providing discharge education to a patient who recently experienced an acute gout attack. Which patient statement indicates they have understood the treatment plan?
I will limit my fluid intake to 1 liter per day.
I will take one aspirin every day.
I will strictly adhere to a high-purine diet.
I will restrict my alcohol consumption.
The Correct Answer is D
Choice A rationale
Limiting fluid intake to 1 liter per day is not recommended for patients who have experienced an acute gout attack. Adequate hydration is important for all individuals, especially those with gout, as it can help to prevent the formation of uric acid crystals.
Choice B rationale
Taking one aspirin every day is not typically recommended for gout patients. Aspirin can actually increase uric acid levels in the blood and potentially trigger a gout attack.
Choice C rationale
Adhering to a high-purine diet is not recommended for gout patients. Foods high in purines can increase uric acid levels in the blood, potentially triggering a gout attack.
Choice D rationale
Restricting alcohol consumption is a key part of managing gout. Alcohol, especially beer, can increase uric acid levels in the blood and trigger gout attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While assessing the client’s skin for a rash could be part of the overall assessment of the client’s condition, it is not the priority action when a client is experiencing chills and back pain during a blood transfusion.
Choice B rationale
Notifying the provider is an important step when a client is experiencing a reaction to a blood transfusion, but it is not the first action that should be taken.
Choice C rationale
Covering the client with a blanket may provide comfort to the client, but it does not address the underlying issue of a potential transfusion reaction.
Choice D rationale
The priority action when a client is experiencing chills and back pain during a blood transfusion is to stop the transfusion. This is because these symptoms could indicate a transfusion reaction, which can be serious.
Correct Answer is B
Explanation
Choice A rationale
Maintaining systolic BP between 136 and 140 mm Hg is not recommended for clients who have hypertension and have experienced a TIA789. Studies have shown that maintaining a lower systolic BP can help reduce the risk of recurrent stroke.
Choice B rationale
The client should aim to maintain systolic BP between 120 and 129 mm Hg. This range is associated with a reduced risk of recurrent stroke. Lifestyle modifications and antihypertensive therapy can help achieve this target.
Choice C rationale
Maintaining systolic BP between 141 and 145 mm Hg is not recommended for clients who have hypertension and have experienced a TIA789. This range is higher than the recommended target and may increase the risk of recurrent stroke.
Choice D rationale
Maintaining systolic BP between 130 and 135 mm Hg is not the recommended target for clients who have hypertension and have experienced a TIA789. The recommended target is lower to help reduce the risk of recurrent stroke.
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