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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. In emergency situations where immediate surgery is required to save a client's life and no family members are available, healthcare providers can proceed without signed informed consent based on implied consent for life-saving treatment.

B. Seeking an emergency court order would delay necessary treatment and is not the priority in an immediate life-threatening situation.

C. A friend typically does not have the legal authority to sign informed consent unless legally designated as the client's healthcare proxy.

D. Continuing to provide life support without proceeding with necessary surgery could jeopardize the client's life.

A. Evaluate the UAP for signs of improvement. B. Plan for scheduled break times. C. Note date and time of the behavior. D. Discuss the issue privately with the UAP.

Correct Answer is ["C","D","B","A"]

Explanation

The unit manager should first note the date and time of the behavior to have a record of the incident. This information is crucial for any follow-up actions and for maintaining accurate documentation. Next, the manager should discuss the issue privately with the UAP to understand the reasons behind their actions and to communicate the importance of following unit protocols. After this discussion, planning for scheduled break times can be implemented, which may prevent future occurrences by providing clear expectations and structure. Lastly, the manager should evaluate the UAP for signs of improvement following these interventions to ensure that the behavior has been corrected and to determine if further action is needed.

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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?

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Naxlex Comprehensive Predictor Exams

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

Correct Answer is A

Explanation

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is ["C","D","B","A"]

Explanation

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