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 C

Explanation

Choice A rationale:
While it’s important for someone with AIDS to avoid potential sources of infection, food preparation can be done safely with proper precautions.
Choice B rationale:
Disinfecting equipment for 24 hours is not a standard practice. Standard cleaning procedures with appropriate disinfectants are usually sufficient.
Choice C rationale:
Good household cleaning practices can help prevent the spread of infection, which is crucial for someone with AIDS due to their compromised immune system.
Choice D rationale:
Burning soiled dressings is not a recommended practice. Soiled dressings should be disposed of properly in a biohazard waste bag.

A. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area.”. B. "Large incisions will be made in the eschar to improve circulation.”. C. "Dead tissue will be non-surgically removed.”. D. "This procedure involves placing the client into a shower and removing the dead tissue.”.

Correct Answer is B

Explanation

Choice A rationale:
This statement describes a skin graft, not an escharotomy.
Choice B rationale:
An escharotomy involves making large incisions in the eschar (burned tissue) to relieve pressure and improve circulation to the area.
Choice C rationale:
This statement describes debridement, which is the removal of dead tissue, but it is not specific to an escharotomy.
Choice D rationale:
This statement describes a method of debridement, not an escharotomy.

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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

A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?

Correct Answer is C

Explanation

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is B

Explanation

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