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 ["B","D","E"]

Explanation

A. Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling.

B. An ACE bandage helps stabilize the ankle and reduce swelling.

C. The client should stay off the ankle for several days, but it’s important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness.

D. Compression also reduces swelling and provides support to the injured area.

E. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.

A. Increase the pain level and need for medication. B. encourage the development of a flexion contracture. C. stop circulation to the extremity. D. cause possible skin breakdown.

Correct Answer is B

Explanation

A. While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture.

B. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery.

C. The pillow does not stop circulation to the extremity directly.

D. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY).

Correct Answer is ["B","D","E"]

Explanation

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Correct Answer is B

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?