A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

"I will take one aspirin every day.”.

"I will closely follow a high-purine diet.”.

"I will limit my fluid intake to 1 liter per day.”.

"I will limit my alcohol intake.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Aspirin is not typically recommended for gout due to its potential to elevate uric acid levels.
Choice B rationale:
A high-purine diet can exacerbate gout symptoms, so this statement is incorrect.
Choice C rationale:
Limiting fluid intake can lead to dehydration, which can trigger a gout attack.
Choice D rationale:
Alcohol, especially beer, can increase uric acid levels and trigger gout attacks, so limiting alcohol intake is recommended.

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Correct Answer is D

Explanation

Choice A rationale:
Indwelling urinary catheters can actually increase the risk of UTIs.
Choice B rationale:
Offering the bedpan every 2 hours may not be necessary or practical for all patients.
Choice C rationale:
Cleaning the perineum from back to front can introduce bacteria to the urinary tract, increasing UTI risk.
Choice D rationale:
Adequate hydration can help flush bacteria out of the urinary tract, reducing UTI risk.

A. Obtain a sputum culture. B. Position head of bed at 10 degrees. C. Cough and deep breathe every 8 hr. D. Encourage fluid intake of 1500 mL/day.

Correct Answer is A

Explanation

Choice A rationale:
Obtaining a sputum culture helps identify the causative organism and guide treatment.
Choice B rationale:
Positioning the head of bed at 10 degrees is not beneficial for pneumonia patients.
Choice C rationale:
Coughing and deep breathing every 8 hours is not frequent enough for pneumonia patients.
Choice D rationale:
Encouraging fluid intake of 1500 mL/day is not sufficient for pneumonia patients.

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A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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