The nurse examines a client’s right great toe.
The joint is red, edematous, and very painful with limited range of motion. The client’s serum uric acid levels are elevated.
Which action should the nurse tell the client to make?
Increase intake of red meat.
Splint the affected joint.
Encourage fluid intake.
Measure urine output.
The Correct Answer is C
Choice C rationale
Encouraging fluid intake is essential for clients with elevated serum uric acid levels, as it helps to dilute the urine and promote the excretion of uric acid, reducing the risk of gout attacks.
Choice A rationale
Increasing the intake of red meat is not advisable for clients with elevated serum uric acid levels, as red meat is high in purines, which can exacerbate gout symptoms.
Choice B rationale
Splinting the affected joint may provide temporary relief from pain, but it does not address the underlying issue of elevated serum uric acid levels.
Choice D rationale
Measuring urine output is important for monitoring kidney function, but it does not directly address the management of elevated serum uric acid levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Packs of cigarettes smoked per day is essential information for calculating smoking pack years.
Choice B rationale
The number of attempts to quit smoking is not required for calculating smoking pack years.
Choice C rationale
The client’s current age is not required for calculating smoking pack years.
Choice D rationale
The age when the client started smoking is necessary to determine the total number of years smoked.
Choice E rationale
The number of years the client smoked is essential for calculating smoking pack years.
Correct Answer is A
Explanation
Choice A rationale
Placing the palm of the hand on the chest wall to feel vibrations while the client speaks is the correct method to assess tactile fremitus. Increased tactile fremitus can indicate consolidation, as seen in pneumonia.
Choice B rationale
Observing the size and shape of the chest wall does not assess tactile fremitus.
Choice C rationale
Using a stethoscope to listen to and compare breath sounds is not the method for assessing tactile fremitus.
Choice D rationale
Using the fingertips to compress tissue over the lungs for evidence of a crackling sensation is not the correct method for assessing tactile fremitus.
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