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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

Explanation

A. Refeeding syndrome occurs when a malnourished patient is given nutrition (such as TPN), leading to electrolyte imbalances (particularly low phosphorus, potassium, and magnesium) that can cause symptoms like muscle cramping, headache, and visual changes. This condition requires immediate correction of electrolyte imbalances and careful monitoring.

B. Sudden hyperglycemia can occur with TPN, but the symptoms described (muscle cramping, headache, and visual changes) are more consistent with refeeding syndrome.

C. An air embolus is a serious complication but is less likely to be the cause of these symptoms.

D. Acute panic attacks could cause some of the symptoms, but the patient's low BMI and history of anorexia nervosa make refeeding syndrome the more likely cause.

A. use a protective back support. B. wear properly fitting shoes. C. stay in good physical shape. D. use mechanical lifting devices.

Correct Answer is D

Explanation

A. Protective back supports can be helpful but do not replace the need for proper body mechanics and lifting devices.

B. Proper footwear is important for overall safety but does not directly prevent back injuries related to lifting.

C. Staying in good physical shape helps with overall body strength and endurance but does not eliminate the risk of injury when lifting clients.

D. Mechanical lifting devices are the most effective way to prevent injury while moving or lifting patients, as they reduce the risk of strain on the spine.

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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

Correct Answer is A

Explanation

The most effective way for a nurse to avoid a lumbosacral spine injury while caring for clients is to:

Correct Answer is D

Explanation

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