The nurse is assessing a client who reports falling 2 days ago and has a history of gouty arthritis that is controlled with allopurinol. The client reports the left knee is swollen and extremely painful to touch. Which instruction should the nurse include in the discharge teaching?
Substitute natural fruit juices for carbonated drinks.
Eat high protein foods to achieve ideal body weight.
Report experiencing right upper quadrant discomfort.
Use electric heating pad when pain is at its worse.
The Correct Answer is A
A. Substituting natural fruit juices for carbonated drinks can help reduce the intake of purines and decrease the risk of gout attacks. Carbonated drinks can contribute to dehydration and worsen gout.
B. High protein foods can increase uric acid levels and exacerbate gout, so this is not a recommended dietary practice for managing gout.
C. Reporting right upper quadrant discomfort is important for liver function monitoring but not directly related to the management of gout symptoms.
D. Using an electric heating pad might provide temporary relief but does not address the underlying issue of uric acid levels or dietary management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Client B’s hemoglobin is significantly low, indicating the need for a blood transfusion to improve oxygen-carrying capacity.
B. Client C’s potassium level is within normal limits, so there is no immediate need to add a banana.
C. Client A’s oxygen saturation is acceptable, so increasing the oxygen is unnecessary.
D. Client D’s elevated WBC count may indicate infection, but moving them to isolation before surgery is not required based solely on this finding.
Correct Answer is ["A","B","C","E"]
Explanation
A. Falls can lead to head injuries or subdural hematomas, which can cause confusion in older adults. It is important to assess for recent trauma as a possible cause of the confusion.
B. An elevated temperature can indicate an infection, such as a urinary tract infection (UTI) or pneumonia, which are common causes of acute confusion in older adults.
C. Pain with urination is a symptom of a UTI, which can lead to confusion, especially in elderly patients with Parkinson's disease.
D. While maintaining adequate nutrition is important, increasing protein intake does not directly address the sudden onset of confusion.
E. New medications or allergic reactions can lead to confusion. A medication interaction or an allergic reaction to a new food could be a contributing factor.
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