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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A rationale:
Reassess the incision site for bleeding. This task requires clinical judgment and should be performed by the nurse.
Choice B rationale:
Increase the client’s IV fluids. This task involves medication administration and should be performed by the nurse.
Choice C rationale:
Administer p.o. pain medication. This task involves medication administration and should be performed by the nurse.
Choice D rationale:
Assist the client to the bathroom. This is a task that can be safely delegated to unlicensed assistive personnel.
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