A nurse is teaching a client who has a new diagnosis of gout about managing the disorder.

Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).

Avoid a high veal diet.

Avoid a high bacon diet.

Increase alcohol intake.

Avoid a high fish diet.

Recommend a starvation diet.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.

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Correct Answer is B

Explanation

Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.

A. "I should avoid stressful situations.”. B. "I should increase my caffeine intake.”. C. "Treatment with steroids should provide a cure.”. D. "I will stop taking my duloxetine as soon as I feel better to avoid side effects.”.

Correct Answer is A

Explanation

Choice A rationale:
Avoiding stressful situations can help manage fibromyalgia symptoms as stress can exacerbate the condition.
Choice B rationale:
Increasing caffeine intake is not recommended as it can interfere with sleep, which is crucial for managing fibromyalgia.
Choice C rationale:
Steroids are not a standard treatment for fibromyalgia and they do not provide a cure.
Choice D rationale:
Duloxetine is an antidepressant used to treat fibromyalgia symptoms. It should not be stopped abruptly without consulting a healthcare provider.

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A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

Correct Answer is B

Explanation

A nurse is providing teaching to a client diagnosed with fibromyalgia. Which of the following client statements indicates an understanding of the teaching?.

Correct Answer is A

Explanation

A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Exhibits Based on the client's prescribed medications, the nurse should assess the client for developing? Select All that Apply

A nurse is preparing dietary instructions for a client who has a past medical history of Gout. Which dietary instructions are most important to include in the patient teaching?.

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?.

A nurse in a provider's office is assessing a client who has been diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect as a manifestation of this condition?.

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The charge nurse is planning the client assignments for the day. Which of the following is an appropriate assignment for the newly graduated registered nurse?.

After a cholecystectomy, the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?.

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder.

Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).