A nurse is providing discharge education to a patient who recently experienced an acute gout attack. Which patient statement indicates they have understood the treatment plan?

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

I will take one aspirin every day.

I will strictly adhere to a high-purine diet.

I will restrict my alcohol consumption.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Limiting fluid intake to 1 liter per day is not recommended for patients who have experienced an acute gout attack. Adequate hydration is important for all individuals, especially those with gout, as it can help to prevent the formation of uric acid crystals.
Choice B rationale
Taking one aspirin every day is not typically recommended for gout patients. Aspirin can actually increase uric acid levels in the blood and potentially trigger a gout attack.
Choice C rationale
Adhering to a high-purine diet is not recommended for gout patients. Foods high in purines can increase uric acid levels in the blood, potentially triggering a gout attack.

Choice D rationale
Restricting alcohol consumption is a key part of managing gout. Alcohol, especially beer, can increase uric acid levels in the blood and trigger gout attacks.

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Correct Answer is D

Explanation

Choice A rationale
While a nasogastric tube can be used to determine the pH of gastric secretions, this is not typically the primary reason for its use in the treatment of pyloric obstruction.
Choice B rationale
While nasogastric tubes can be used to supply nutrients via tube feedings, this is not typically the primary reason for its use in the treatment of pyloric obstruction. In the case of pyloric obstruction, the focus is usually on relieving the obstruction rather than on feeding.
Choice C rationale
While nasogastric tubes can be used to administer medications, this is not typically the primary reason for its use in the treatment of pyloric obstruction.
Choice D rationale
The primary reason for the use of a nasogastric tube in the treatment of pyloric obstruction is to decompress the stomach. Pyloric obstruction can cause a buildup of gastric contents above the level of the obstruction, leading to symptoms such as nausea and vomiting. A nasogastric tube can be used to remove these contents and relieve symptoms.

A. A 25-year-old planning to lose 20 pounds after childbirth. B. A 65-year-old who recently underwent hernia surgery (postoperative day 2). C. A 70-year-old who has been fasting since midnight in preparation for a colonoscopy. D. A 55-year-old who has been consuming alcohol for 35 years.

Correct Answer is D

Explanation

Choice A rationale

While a 25-year-old planning to lose 20 pounds after childbirth may have increased nutritional needs, they would not typically be considered at higher risk for malnutrition unless there were other factors such as inadequate diet or certain health conditions.
Choice B rationale
A 65-year-old who recently underwent hernia surgery might have temporary changes in diet or appetite related to the surgery, but would not typically be at high risk for malnutrition unless there were other ongoing issues such as poor diet, difficulty eating, or a chronic health condition.
Choice C rationale
A 70-year-old who has been fasting since midnight in preparation for a colonoscopy would not typically be at risk for malnutrition from this short-term fast. However, if they had ongoing issues with diet, appetite, or a chronic health condition, they could potentially be at risk.
Choice D rationale
A 55-year-old who has been consuming alcohol for 35 years is at higher risk for malnutrition. Alcohol can interfere with the body’s ability to absorb and use nutrients, and individuals with long-term heavy alcohol use may also have other lifestyle factors that increase their risk for malnutrition.

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A nurse is providing discharge education to a patient who recently experienced an acute gout attack. Which patient statement indicates they have understood the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a patient who has been prescribed a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following reasons for the use of the nasogastric tube should the nurse include in the teaching?

Correct Answer is D

Explanation

Which of the following patients should the nurse consider as having a higher risk for malnutrition?

Correct Answer is D

Explanation

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