Exhibits

The healthcare provider prescribes colchicine, naproxen, and prednisone for the treatment of gout, and the client is being discharged home with a follow up appointment in 1 week.

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The nurse should teach the client that gout attacks can be limited by keeping a diet that is
_
and a lifestyle free from
_

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

The nurse should teach the client that gout attacks can be limited by keeping a diet that is low purine and a lifestyle free from alcohol.

Rationale:

Low Purine Diet: Foods high in purines (like red meats, certain seafood, and organ meats) increase uric acid levels, which can trigger gout attacks. A low purine diet helps reduce uric acid levels and may prevent future flare-ups.
Avoiding Alcohol: Alcohol, especially beer, can increase uric acid levels and is a known risk factor for gout attacks. By avoiding alcohol, the client reduces the likelihood of aggravating their condition.

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Correct Answer is D

Explanation

A. Throbbing pain can be a common response after a fracture and cast application but does not necessarily indicate an emergency situation.

B. Circumferential edema could suggest complications, but it is not as immediately concerning as the vascular status of the limb.

C. An increased temperature in the lower extremity could indicate inflammation or infection, but it does not require immediate intervention compared to signs of impaired circulation.

D. A pale foot with sluggish capillary refill suggests compromised blood flow, which is a medical emergency requiring immediate assessment and intervention to prevent ischemia or compartment syndrome.

A. Bronze pigmentation. B. Uneven hair distribution. C. Lower leg edema. D. Bounding peripheral pulse.

Correct Answer is B

Explanation

A. Bronze pigmentation is often associated with venous insufficiency rather than arterial compromise.

B. Compromised peripheral arterial circulation can lead to decreased blood flow, resulting in uneven or diminished hair distribution on the lower extremities due to lack of nourishment to hair follicles.

C. Lower leg edema is more commonly associated with venous insufficiency rather than arterial insufficiency.

D. A bounding peripheral pulse indicates increased arterial pressure or volume, which is not consistent with compromised arterial circulation, where pulses are typically weak or absent.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After falling down the basement steps, a client is brought to the emergency room. The x-ray confirms the client's right leg is fractured. Following the application of a leg cast, which assessment finding warrants immediate intervention by the nurse?

Correct Answer is D

Explanation

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of compromised peripheral arterial circulation of the lower extremity?

Correct Answer is B

Explanation

Exhibits The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks. Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

The healthcare provider prescribes penicillin 200,000 units IM for a client with pneumonia. The available vial is labeled, "Penicillin 500,000 units/mL. How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

A client with leukemia is receiving chemotherapy. The nurse observes the client is weak, pale, and febrile. After reviewing the client's most recent laboratory results which reveals a platelet count of 25,000/mm3 (25 x 10^9/L), which intervention should the nurse include in the plan of care?

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

An adult client who was recently diagnosed with glaucoma tells the nurse, "It feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client?

The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?