A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area.

The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?

Consume high-protein foods to reach an ideal body weight.

Drink at least eight cups (1920 mL) of water each day.

Use an electric heating pad when the pain is severe.

Encourage active range of motion exercises to prevent stiffness.

Answer and Explanation

The Correct Answer is B

Gouty arthritis is a form of inflammatory arthritis that occurs when uric acid crystals accumulate in the joints, causing severe pain and inflammation. Drinking plenty of water can help to flush the uric acid out of the body, reducing the risk of crystal formation and subsequent inflammation.

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Correct Answer is ["42"]

Explanation

Step 1: Convert the volume from liters to milliliters. 1 liter = 1000 mL. Step 2: Convert the time from hours to minutes. 4 hours = 240 minutes.

Step 3: Calculate the rate in mL per minute. Rate = Volume ÷ Time = 1000 mL ÷ 240 min = 4.17 mL/min.

Step 4: Calculate the drops per minute. Drops per minute = Rate × Drop factor = 4.17 mL/min

× 10 gtt/mL = 41.7 gtt/min.

Step 5: Round off the result to the nearest whole number. 41.7 gtt/min rounds off to 42 gtt/min.

A. The patient should adjust their food intake to three full meals per day with no snacks. B. The patient should avoid participating in any aerobic exercise programs. C. The patient should sleep without pillows at night to maintain neck alignment. D. The patient should wear loose, comfortable clothing to minimize symptoms.

Correct Answer is D

Explanation

Choice A rationale
Adjusting food intake to three full meals per day with no snacks is not necessarily recommended for GERD patients. Smaller, more frequent meals can help prevent the stomach from becoming too full and causing reflux.
Choice B rationale
Avoiding participation in any aerobic exercise programs is not a general recommendation for GERD patients. While some exercises may worsen GERD symptoms, many forms of aerobic exercise can be performed without triggering symptoms.
Choice C rationale
Sleeping without pillows at night to maintain neck alignment is not typically recommended for GERD patients. Elevating the head of the bed can actually help prevent acid reflux during sleep.
Choice D rationale
Wearing loose, comfortable clothing can help minimize GERD symptoms. Tight clothing can put pressure on the abdomen and the lower esophageal sphincter, potentially causing reflux.

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A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area. The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["42"]

Explanation

What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?

Correct Answer is D

Explanation

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A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area.

The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?