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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Administer a PRN antianxiety medication: While anxiety can cause muscle spasms, this is not the immediate priority for addressing the spasm noted during blood pressure measurement.
B. Ask the UAP to take the blood pressure in the other arm: This does not address the underlying issue that could be causing the spasms.
C. Review the client's serum calcium level: Hand and finger spasms could indicate hypocalcemia, so reviewing the serum calcium level is appropriate to determine if this is the underlying cause of the spasms.
D. Tell the UAP to use a different sphygmomanometer: Using a different sphygmomanometer is unlikely to resolve the issue of spasms during blood pressure measurement.

A. Obtain client's vital signs every 4 hours when awake. B. Measure and record the client's urinary output every day. C. Obtain a blood pressure reading before the client gets out of bed. D. Provide the client with teaching regarding a cardiac diet.

Correct Answer is C

Explanation

A. Obtain client's vital signs every 4 hours when awake: While monitoring vital signs is essential, it is not the most immediate concern related to the medication management and adjustment to a new environment.
B. Measure and record the client's urinary output every day: While important for monitoring fluid balance, this action is not as directly related to the client's adjustment to a new environment or immediate medication effects.
C. Obtain a blood pressure reading before the client gets out of bed: Blood pressure should be monitored before the client stands up, especially when they are on a new sedative medication, to prevent orthostatic hypotension and ensure safe transitions.
D. Provide the client with teaching regarding a cardiac diet: Teaching about a cardiac diet is important but is not as immediately relevant as ensuring the client's safety and stability with their new medications and environment.

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Naxlex Comprehensive Predictor Exams

An unlicensed assistive personnel (UAP) reports that a client's right hand and fingers spasm when taking the blood pressure using the same arm. After confirming the presence of the spasms, which action should the nurse take?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

The nurse is teaching a primigravida about preeclampsia. What finding(s) are indicators of preeclampsia and should be reported to the healthcare provider? Select all that apply.

An older adult with a terminal illness is receiving hospice care and is having difficulty coping with feelings related to death and dying. What intervention(s) should the nurse include in this client's plan of care? Select all that apply.

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The nurse is caring for a client with heart failure. Which of these prescribed medications places the client at risk for cardiogenic shock?

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