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The nurse evaluates the client's recall of the instructions about gout. Which response would indicate that the client understands the therapeutic regimen? "I:

would feel better if I put on some weight

need to move to a warmer climate.

need to avoid drinking wine.

can stop my Allopurinol once feel better.

Answer and Explanation

The Correct Answer is C

A. Weight gain can worsen gout by increasing joint stress and uric acid levels.

B. Climate change is not a treatment or preventive measure for gout.

C. Avoiding wine is correct as alcohol, especially beer and wine, can trigger gout flares.

D. Discontinuing Allopurinol abruptly can lead to worsening of gout symptoms.

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

Explanation

A. Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion.

B. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management.

C. The ability to move the toes helps assess for nerve function and mobility.

D. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise.

E. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.

Correct Answer is ["1700"]

Explanation

1. Calculate the remaining volume of fluid:

Remaining volume = Total volume - Volume infused

Remaining volume = 1000 mL - 500 mL = 500 mL

2. Calculate the remaining infusion time:

Remaining infusion time = Remaining volume / Infusion rate

Remaining infusion time = 500 mL / 100 mL/hr = 5 hours

3. Determine the time the infusion will be complete:

Current time: 1200 (12:00 PM)

Remaining infusion time: 5 hours

Time of completion: 1200 (12:00 PM) + 5 hours = 1700

Therefore, the nurse should expect to hang a new bag at 1700

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The nurse evaluates the client's recall of the instructions about gout. Which response would indicate that the client understands the therapeutic regimen? "I:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)

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

Explanation

A client is receiving IV fluids at 100 ml per hour. The nurse is told in report at 1200 that there are 500 ml left in the bag. At what time should the nurse expect to hang a new bag? Report the time in military time.

Correct Answer is ["1700"]

Explanation

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)

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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:

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (SELECT ALL THAT APPLY)

A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?