A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

Fresh garden salad with fried chicken

Baked chicken with broccoli and baked potato

A pizza with extra cheese and anchovies

A turkey burger with coleslaw and baked chips

Answer and Explanation

The Correct Answer is C

A. Fried chicken is not considered a high-purine food, though fried foods should be eaten in moderation for general health.

B. Baked chicken with broccoli and baked potato is a low-purine meal, suitable for managing gout.

C. Anchovies are high in purines, which can increase uric acid levels and trigger a gout attack. A low-purine diet should avoid foods high in purines, including organ meats, shellfish, and certain fish like anchovies.

D. Turkey burger with coleslaw and baked chips is also appropriate for a low-purine diet, as turkey is a lean meat and doesn't significantly elevate uric acid levels.

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Correct Answer is A

Explanation

A. Nifedipine XL (extended-release) should not be crushed as it alters the medication release mechanism.

B. Diltiazem can be given via a feeding tube if it is in an appropriate form.

C. Acetaminophen is available in a form suitable for feeding tubes.

D. Furosemide can be administered via a feeding tube.

A. Client scratching around the pin sites B. Accumulation of flaky skin on the extremity C. Dry serosanguinous drainage on the fixator D. Pain when client is not moving the extremity E. Fall prevention

Correct Answer is D

Explanation

A. Scratching around pin sites is more indicative of skin irritation or infection, not compartment syndrome.

B. Accumulation of flaky skin is generally unrelated to compartment syndrome and might be a sign of poor circulation or prolonged immobility.

C. Dry serosanguineous drainage is common after surgery and would not specifically indicate compartment syndrome.

D. Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to ischemia and tissue damage. Pain, particularly pain that is out of proportion to the injury or pain when the limb is at rest, is a classic sign.

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A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?

Correct Answer is A

Explanation

A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?

Correct Answer is D

Explanation

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A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

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