The nurse is assessing a client who reports falling 2 days ago and has a history of gouty arthritis that is controlled with allopurinol. The client reports the left knee is swollen and extremely painful to touch. Which instruction should the nurse include in the discharge teaching?
Substitute natural fruit juices for carbonated drinks.
Eat high protein foods to achieve ideal body weight.
Report experiencing right upper quadrant discomfort.
Use electric heating pad when pain is at its worse.
The Correct Answer is A
A. Substituting natural fruit juices for carbonated drinks can help reduce the intake of purines and decrease the risk of gout attacks. Carbonated drinks can contribute to dehydration and worsen gout.
B. High protein foods can increase uric acid levels and exacerbate gout, so this is not a recommended dietary practice for managing gout.
C. Reporting right upper quadrant discomfort is important for liver function monitoring but not directly related to the management of gout symptoms.
D. Using an electric heating pad might provide temporary relief but does not address the underlying issue of uric acid levels or dietary management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
The mask should cover both the nose and mouth to ensure effective oxygen delivery and prevent air leaks.
The oxygen flowmeter should be adjusted to maintain the client’s oxygen saturation within the target range.
Placing gauze under the straps can help prevent skin irritation from prolonged use of the mask.
Continuous mask use is usually necessary for effective oxygen therapy. Breaks are generally not recommended unless instructed by a healthcare provider.
Face masks should be cleaned more frequently, typically after every shift or as needed, to maintain hygiene and prevent infection.
The mask should be placed over both the nose and mouth simultaneously to ensure proper fit and effective oxygen delivery.
Correct Answer is C
Explanation
A. While the nurse should be aware of the gap, they must first complete the assessment rather than stopping at this point.
B. Repositioning the stethoscope is not necessary if the sounds are heard clearly.
C. Thenurse should not stop or make assumptions but should continue listening to detect the reappearance of Korotkoff sounds and obtain an accurate diastolic reading.
D. Re-inflating the cuff to a higher number is unnecessary unless the initial reading was unclear or the cuff was under-inflated.
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