A nurse is educating a client with gout about lifestyle modifications that can help control the signs and symptoms of the disease. What recommendation should the nurse make?

Ensuring adequate rest

Limiting exposure to sunlight

Restrict the intake of alcohol

Smoking cessation

Answer and Explanation

The Correct Answer is C

Rationale:
A. While rest is beneficial during acute gout attacks, it is not a specific lifestyle modification to control the disease long-term.
B. Sunlight exposure is not directly linked to gout flare-ups or management, unlike in conditions like lupus.
C. Alcohol, particularly beer and spirits, increases uric acid levels and can trigger gout attacks. Restricting alcohol intake is a key lifestyle recommendation to help manage gout.
D. Smoking cessation is generally beneficial for overall health, but it does not have a direct link to controlling gout symptoms.

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Correct Answer is B

Explanation

Rationale:
A. Adults with a long history of smoking (especially those aged 50–80 with a 20 pack-year history) should have annual low-dose CT scans for early lung cancer detection.
B. The statement “I do not need to apply sunscreen every day” reflects a lack of understanding. Daily sunscreen use is recommended to reduce the risk of skin cancer, even on cloudy days or in indirect sunlight.
C. Pap smear guidelines recommend screening every 3 years starting at age 21, assuming normal results—this is correct.
D. Colonoscopy screening for average-risk adults is recommended to begin at age 45, with a repeat every 10 years if results are normal.

A. Purulent drainage B. Clear, serous drainage C. Pain at the pin site, purulent drainage D. Inflammation and purulent drainage

Correct Answer is B

Explanation

Rationale:
A. Purulent drainage is a sign of possible infection and requires prompt evaluation and intervention.
B. Clear, serous drainage is expected in the first 24 to 72 hours after pin placement and is not typically a cause for concern. It is a normal part of the healing process.
C. Pain combined with purulent drainage suggests infection, which is a serious complication of skeletal traction.
D. Inflammation and purulent drainage are both signs of possible infection at the pin site and warrant further investigation.

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A nurse is educating a client with gout about lifestyle modifications that can help control the signs and symptoms of the disease. What recommendation should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of adults during a community health fair about cancer screening. Which of the following statements by a participant indicates a need for further teaching?

Correct Answer is B

Explanation

The nurse is evaluating the pin sites of a client who has been in skeletal traction for 24 hours. The nurse would be least concerned with which finding?

Correct Answer is B

Explanation

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