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
_
and a lifestyle free from
_

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Discontinuing the infusion may lead to increased clotting and potential obstruction of the catheter. Continuous bladder irrigation is essential to keep the bladder clear of clots and debris following surgery.

B. Manually irrigating the catheter can help clear any clots that may be obstructing the catheter, ensuring adequate drainage and preventing complications such as bladder distention or retention. This is the most immediate and appropriate action to take in response to the presence of clots.

C. Monitoring catheter drainage is important; however, it does not address the potential issue of clots obstructing the flow of urine, which is the priority concern in this scenario.

D. Decreasing the flow rate may not be beneficial and could lead to inadequate irrigation of the bladder, which could exacerbate clot formation and urinary retention.

A. Select another finger. B. Apply pressure to the site. C. Assess radial pulse volume. D. Collect the blood sample.

Correct Answer is A

Explanation

A. Selecting another finger is the best action to prevent discomfort and ensure an accurate blood sample. The reddened and engorged tip may indicate that milking the finger caused bruising or altered blood flow, which can affect the glucose reading.

B. Applying pressure to the site may be appropriate after collecting a sample, but it does not address the issue of obtaining an accurate sample from an engorged finger.

C. Assessing radial pulse volume is not relevant in this situation and does not address the problem at hand.

D. Collecting the blood sample from a reddened and engorged finger could yield an inaccurate result, so it is better to select a different finger.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

Correct Answer is A

Explanation

Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?

The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?

The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the healthcare provider?

A client receives a prescription for 1 L of lactated Ringers to be infused IV over 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?