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 ["A","D","E","F"]

Explanation

A. Blood culture
A blood culture is crucial to identify any potential infections that might have been acquired during the fall or are present as a complication. This test is important for diagnosing sepsis or other infections that require treatment, particularly in a trauma patient.

B. Lipid panel
A lipid panel is not necessary in the acute trauma setting. This test is more relevant for evaluating cardiovascular risk and is not immediately relevant to the management of a recent fall or trauma.

C. Albumin
Albumin levels are not an immediate priority in the acute phase of trauma care. Albumin measurement is more relevant for assessing chronic conditions or for ongoing management rather than initial emergency care.

D. Type and screen
Type and screen are important for cross-matching blood for potential transfusions. In trauma cases where there is significant blood loss or a possibility of needing blood products, this test ensures that compatible blood is available for transfusions.

E. Prothrombin time
Prothrombin time is important for assessing blood clotting ability, which is crucial in trauma care for identifying coagulopathy or bleeding disorders that might complicate treatment and management.

F. Hemoglobin and hematocrit
Hemoglobin and hematocrit levels are essential for assessing the severity of blood loss and guiding transfusion decisions. These tests help evaluate the client’s blood volume and oxygen-carrying capacity, which is critical in trauma care.

A. Provide instruction on taking the client's temperature. B. Ask if the client is experiencing any pain with urination. C. Determine if the client has recently experienced a fall. D. Encourage increased intake of high-protein foods. E. Review the client's current food and medication allergies.

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

Explanation

A. Providing instruction on taking the client's temperature helps assess for fever, which could be a sign of an underlying infection or other acute issues causing the behavioral changes.
B. Asking if the client is experiencing any pain with urination can help identify a urinary tract infection, a common cause of sudden confusion and agitation in older adults.
C. Determining if the client has recently experienced a fall is important because falls can lead to head injuries or other issues that might cause sudden changes in behavior and cognition.
D. Encouraging increased intake of high-protein foods is not directly related to the acute behavioral changes. The priority is to identify and address immediate health issues rather than dietary changes.
E. Reviewing food and medication allergies is important but less urgent compared to addressing immediate symptoms and potential acute causes of the behavioral changes.

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Naxlex Comprehensive Predictor Exams

Exhibits The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

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

Explanation

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