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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Dysmenorrhea (painful periods) that is unresponsive to NSAIDs is a common symptom of endometriosis.
Choice B rationale:
An atypical Papanicolaou smear is not directly related to endometriosis.
Choice C rationale:
A history of pelvic inflammatory disease (PID) can increase the risk of endometriosis, but it’s not a symptom of the condition.
Choice D rationale:
Abdominal bloating before menses can be a symptom of many conditions, not just endometriosis.
Correct Answer is A
Explanation
Choice A rationale:
An increased WBC count with increased bands (immature neutrophils) indicates an acute infectious process. Normal range for WBC is 4,500-11,000/mm².
Choice B rationale:
A resolving inflammatory process would typically show a decreasing WBC count.
Choice C rationale:
An allergic reaction would typically show an increase in eosinophils, not neutrophils.
Choice D rationale:
Neutropenia is a decrease in neutrophils, not an increase.
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