A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

Whole wheat pasta

Broccoli

Shellfish

Cranberries

Answer and Explanation

The Correct Answer is C

A. Whole wheat pasta is not typically high in purines.

B. Broccoli is a vegetable and generally not high in purines.

C. Shellfish, such as shrimp, crab, and lobster, are high in purines and should be avoided by individuals with gout.
D. Cranberries are fruits and are generally low in purines.

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

Explanation

A. The client's signs and symptoms, including crackles on auscultation and difficulty breathing, warrant a chest x-ray to assess for possible pneumonia or other respiratory conditions.
B. Obtaining a sputum culture can help identify the causative organism and guide antibiotic therapy for respiratory infection.
C. Antibiotic therapy is indicated for the treatment of respiratory infection, especially if the sputum culture indicates bacterial involvement.
D. There is no indication for inserting a Foley catheter based on the client's signs and symptoms.
E. Nasogastric tube insertion for decompression is not indicated based on the client's respiratory symptoms.
F. Oxygen therapy is indicated for the client's low oxygen saturation level and respiratory distress. Applying oxygen at 2L per nasal cannula can help improve oxygenation.

A. Reservoir B. Portal of entry C. Characteristics of the organism D. Portal of exit

Correct Answer is B

Explanation

A. The reservoir is the source of infectious agents, not the method by which they enter the body.
B. Meticulous sterile technique during wound care procedures helps prevent microorganisms from entering the body, thereby controlling the portal of entry for potential pathogens.
C. Characteristics of the organism refer to factors such as virulence and pathogenicity, which influence the organism's ability to cause infection but are not directly controlled by sterile technique during wound care.

D. The portal of exit is the route by which infectious agents leave the reservoir, such as through respiratory secretions or bodily fluids, and is not directly controlled by sterile technique during wound care.

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A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse who uses meticulous sterile technique when performing wound care procedures is attempting to control which link in the chain of infection?

Correct Answer is B

Explanation

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