A nurse is teaching a client who has a new diagnosis of gout about managing the disorder.
Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).
Avoid a high veal diet.
Avoid a high bacon diet.
Increase alcohol intake.
Avoid a high fish diet.
Recommend a starvation diet.
Correct Answer : A,B,D
Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The Sims position is not specifically recommended for easing discomfort after cholecystectomy.
Choice B rationale:
The right lateral position is not specifically recommended for easing discomfort after cholecystectomy.
Choice C rationale:
Deep breathing and coughing can help alleviate discomfort due to CO2 used during surgery by promoting the absorption and excretion of the gas.
Choice D rationale:
Placing the client in the prone position with the head of bed elevated is not specifically recommended for easing discomfort after cholecystectomy.
Correct Answer is B
Explanation
Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.
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