Exhibits
The healthcare provider prescribes colchicine, naproxen, and prednisone for the treatment of gout, and the client is being discharged home with a follow up appointment in 1 week.
Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.
The nurse should teach the client that gout attacks can be limited by keeping a diet that is
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
The nurse should teach the client that gout attacks can be limited by keeping a diet that is low purine and a lifestyle free from alcohol.
Rationale:
- Low Purine Diet: Foods high in purines (like red meats, certain seafood, and organ meats) increase uric acid levels, which can trigger gout attacks. A low purine diet helps reduce uric acid levels and may prevent future flare-ups.
- Avoiding Alcohol: Alcohol, especially beer, can increase uric acid levels and is a known risk factor for gout attacks. By avoiding alcohol, the client reduces the likelihood of aggravating their condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administering opioid and non-opioid medications together is an effective pain management strategy for severe pain. This approach can provide better pain relief by targeting different pain pathways and may reduce the total dosage of opioids needed, thus minimizing side effects.
B. Alternating IV and IM analgesic medications is not the best approach; instead, consistent pain management is necessary to keep pain levels under control.
C. Waiting until the pain score reaches 10 before administering the maximum dosage is inappropriate and could lead to inadequate pain control. Pain management should be proactive, not reactive.
D. While educating the client on narcotic dependency is important, it is not the priority intervention in this acute situation where pain control is essential. The immediate focus should be on effective pain relief.
Correct Answer is []
Explanation
Potential Condition
- Dilated Cardiomyopathy: This condition is most likely because the client presents with symptoms of heart failure (chest pain, dizziness, inspiratory crackles, systolic murmur, and ankle edema) alongside a history of hypertension, which can contribute to the development of dilated cardiomyopathy.
Actions to Take
1. Apply Oxygen: The client is showing signs of potential heart failure, and oxygen can help alleviate symptoms associated with decreased oxygenation.
2. Perform 12-lead EKG: An EKG will provide information about any potential cardiac abnormalities, especially in the presence of chest pain and systolic murmur.
Parameters to Monitor
1. Blood Pressure: It is essential to monitor blood pressure due to the client's hypertension and heart failure symptoms, which may be exacerbated by elevated blood pressure.
2. Urine Output: Monitoring urine output helps assess kidney perfusion and fluid status, which can be affected by heart failure and hypertension, particularly in cases of cardiomyopathy.
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