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 D
Explanation
A. Scarlet fever and pneumonia do not require airborne precautions; they are primarily spread through respiratory droplets.
B. Scabies is a skin infestation that requires contact precautions, not airborne precautions.
C. Herpes simplex II lesions require contact precautions and are not airborne.
D. A positive Mantoux test and sputum cultures positive for acid-fast bacillus indicate tuberculosis, which requires airborne precautions, including a negative airflow room and the use of a particulate respirator mask.
Correct Answer is B
Explanation
A.
In end-stage kidney failure, nephron damage is permanent and irreversible. Increasing protein does not restore kidney function.
B. Clients with end-stage kidney disease (ESKD) who are receiving dialysis require increased protein intake. Dialysis removes not only waste products but also amino acids and proteins. Without adequate protein intake, the client is at risk for malnutrition, muscle wasting, poor wound healing, and decreased energy. Therefore, protein intake is increased to replace losses and maintain nutritional status.
C. Protein restriction is appropriate in earlier stages of chronic kidney disease to reduce workload on the kidneys. However, once the client is on dialysis, protein needs increase.
D. Protein intake should be decreased to prevent the buildup of nitrogenous wastes, which the failing kidneys cannot adequately filter. Dialysis can help remove these wastes, but dietary management is still crucial.
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