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Exhibits

Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Garlic

Liver

Spinach

Oatmeal

Chicken

Shrimp

Lentil

Quinoa

Oranges

Sardines

Answer and Explanation

Correct Answer : B,F,J

A. Garlic is generally considered safe for individuals with gout.

B. Organ meats like liver are very high in purines and should be avoided in a diet for managing gout.

C. Spinach contains moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions.

D. Oatmeal is generally considered safe for individuals with gout.

E. Chicken is generally considered safe for individuals with gout.

F. Seafood, particularly shellfish like shrimp, is also high in purines and generally recommended to be limited or avoided in a gout diet.

G. Lentils contain moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions.

H. Quinoa is generally considered safe for individuals with gout.

I. Oranges is generally considered safe for individuals with gout.

J. Small oily fish such as sardines are another source of high purines and are often advised against in the diet of someone managing gout.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Alternating IV and IM analgesic medications may be appropriate for pain management in some situations but is not the best initial intervention for continuous, severe pain in a client with stage IV bone cancer.

B. Administering opioid and non-opioid medication simultaneously is an appropriate intervention for managing severe pain, as it addresses pain from multiple pathways and may provide more effective pain relief.

C. Giving maximum dosage when the pain score reaches 10 is not recommended, as it may lead to overmedication and increased risk of adverse effects. Pain management should be based on the client's reported pain intensity and individualized needs.

D. Educating the client on signs and symptoms of narcotic dependency is important but is not the priority intervention in this situation. Pain management and relief should be the immediate focus for the client's comfort and quality of life.

A. The client's blood pressure readings will be less than 160/90 mm Hg. B. The nurse will encourage the client to walk thirty minutes every day. C. The client's family will repeat signs and symptoms about the disease. D. The client's daily blood pressure will be less than 140/80 mm Hg this month.

Correct Answer is D

Explanation

A. While controlling blood pressure is important in managing cardiovascular disease, the specific outcome should reflect the target blood pressure goal of less than 140/80 mm Hg to reduce the risk of complications.

B. Encouraging physical activity is beneficial for cardiovascular health, but the outcome should focus on blood pressure management, which is more directly related to the client's reported symptoms of blurred vision.

C. Educating the client's family about signs and symptoms of cardiovascular disease is important for support, but it does not directly address the client's blurred vision or cardiovascular risk factors.

D. Achieving a daily blood pressure reading of less than 140/80 mm Hg is an appropriate outcome to ensure adequate control of blood pressure and reduce the risk of cardiovascular complications, including those that may contribute to blurred vision.

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Exhibits Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse implement?

Correct Answer is B

Explanation

The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

Correct Answer is D

Explanation

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The nurse assists a client with Parkinson's disease to ambulate in the hallway. The client appears to "freeze" and then carefully lifts one leg and steps forward. The client tells the nurse of pretending to step over a crack on the floor. How should the nurse respond?

Exhibits

Select the 3 dietary choices that are not part of the recommended diet for a client with gout.