A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
I'll drink white wine, not red.
I'll limit the number of fruit servings I eat each day.
I'll avoid eating organ meats.
I'll choose red meat instead of poultry.
The Correct Answer is C
Choice A Reason: Drinking white wine, not red, is not an indication that the client understands the instructions, as both types of wine are high in purine and may trigger gout attacks.
Choice B Reason: Limiting the number of fruit servings I eat each day is not an indication that the client understands the instructions, as most fruits are low in purine and may help to lower uric acid levels.
Choice C Reason: Avoiding eating organ meats is an indication that the client understands the instructions, as organ meats are very high in purine and may increase uric acid levels and cause gout flare-ups.
Choice D Reason: Choosing red meat instead of poultry is not an indication that the client understands the instructions, as both red meat and poultry are high in purine and may worsen gout symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason: Keeping scissors at the bedside is the most important safety intervention for this client, as it allows for quick removal of the tube in case of airway obstruction or bleeding.
Choice B Reason: Providing good mouth care is an important intervention for this client, but it is not the most important, as it helps to prevent oral infections and discomfort.
Choice C Reason: Deflating the balloon on a regular basis is not an appropriate intervention for this client, as it may cause bleeding or displacement of the tube.
Choice D Reason: Monitoring IV fluid intake is an important intervention for this client, but it is not the most important, as it helps to prevent fluid overload or dehydration.
Correct Answer is C
Explanation
Choice A Reason: If I feel nervous or have tremors, I should not only take half the dose, but I should contact my healthcare provider, as these may indicate signs of overdose or hyperthyroidism.
Choice B Reason: I cannot expect diarrhea, insomnia, and excessive sweating, but these are possible side effects of overdose or hyperthyroidism.
Choice C Reason: I need to call my healthcare provider if my heart rate becomes fast, as this may indicate a serious adverse reaction or overdose of levothyroxine sodium.
Choice D Reason: I should not take the medication in the evening, but in the morning on an empty stomach at least 30 minutes before breakfast, as this ensures better absorption and prevents insomnia.
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