A client with a history of gout presents to the clinic with an inflamed left knee. The client reports the knee is extremely painful to touch for the second time in 6 months. The healthcare provider prescribes colchicine and ibuprofen. Which instruction should the nurse include in the discharge teaching?
Use electric heating pad when pain is at its worst.
Avoid acetylsalicylic acid containing medications.
Encourage active range of motion to limit stiffness.
Eat high-protein foods to achieve ideal body weight.
The Correct Answer is B
A. Using an electric heating pad is not typically recommended for acute gout attacks; ice is generally preferred to reduce inflammation and pain.
B. Avoiding acetylsalicylic acid (aspirin) is crucial because aspirin can interfere with the effectiveness of gout medications and exacerbate gout attacks. This advice is key to effective management of the condition.
C. Encouraging active range of motion during an acute gout attack can worsen pain and inflammation. Resting the affected joint is more appropriate.
D. Eating high-protein foods can increase uric acid levels, which is detrimental for managing gout. A diet low in purines is recommended for gout management, and high-protein foods are not advised.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Beginning initial sterile wound care is a task that typically requires the expertise of a registered nurse (RN) due to its complexity and the need for comprehensive knowledge of sterile techniques and wound management.
B. Initiating teaching for client care after discharge requires the RN’s skills in assessing educational needs and planning long-term care, which is beyond the scope of the PN.
C. Completing comprehensive assessments involves detailed evaluation and critical thinking, tasks that are generally performed by an RN rather than a PN.
D. Using a bladder ultrasound to detect urinary retention is a task that can be assigned to a PN. It is a straightforward procedure that aligns with the PN's scope of practice.
Correct Answer is D
Explanation
A. Administer naloxone per PRN protocol: Naloxone is used for opioid overdoses, not for benzodiazepine withdrawal. Therefore, this action is not appropriate for managing symptoms of alprazolam withdrawal.
B. Obtain a serum drug screen: While a drug screen can provide information about substance use, the immediate priority is managing the client’s withdrawal symptoms, including the risk of seizures.
C. Instruct the family about withdrawal symptoms: While educating the family is important, it is not the immediate priority. Addressing acute symptoms and risks takes precedence in this situation.
D. Initiate seizure precautions: Severe agitation and tremors can escalate to seizures during benzodiazepine withdrawal. Initiating seizure precautions ensures the client's safety and addresses the immediate risks associated with withdrawal.
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