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 ["1000"]

Explanation

Step 1 is to convert the time from minutes to hours: 15 min ÷ 60 min/hr = 0.25 hr.

Step 2 is to calculate the rate: 250 ml ÷ 0.25 hr = 1000 ml/hr.

A. "When carrying an object I will hold it close to my body.”. B. "I will pick up objects with my arms or leg muscles.”. C. "I will carry my laundry basket with the tip of my fingers.”. D. "I will bend at the knees when picking up an item from the floor.”.

Correct Answer is C

Explanation

Choice A rationale:
Holding an object close to the body can help distribute the weight evenly and reduce strain on the joints, which is beneficial for someone with Rheumatoid arthritis.
Choice B rationale:
Using larger muscle groups like the arms and legs can help reduce the strain on smaller, more sensitive joints.
Choice C rationale:
Carrying a laundry basket with the tips of the fingers can put unnecessary strain on the finger joints, which can exacerbate symptoms of Rheumatoid arthritis.
Choice D rationale:
Bending at the knees, rather than the waist, can help protect the back and maintain balance when picking up an item from the floor.

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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

A client with a diagnosis of hypotension has been ordered a normal saline bolus 250 ml IV to infuse over 15 minutes. How many ml/hr should you administer?

Correct Answer is ["1000"]

Explanation

The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

Correct Answer is C

Explanation

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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.).