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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The urinary meatus is the external opening of the urethra and is not the source of the infection in this case.

B. The client's bed is not a direct reservoir for the infection, although poor hygiene practices can contribute to contamination.

C. Catheter tubing can harbor bacteria if not properly managed, leading to urinary tract infections. Prolonged periods without proper drainage can allow bacteria to multiply.

D. The client's bladder can become infected due to bacteria introduced via the catheter tubing, but it is not the initial reservoir.

A. Put his behavior on extinction and continue talking with the newly admitted client. B. Inform him that the nurse is busy admitting a new client and will talk to him later. C. Encourage him to go to the nurse's station and talk with another nurse. D. Introduce him to the newly admitted client and ask him to join in the conversation.

Correct Answer is B

Explanation

A. Ignoring the client's behavior (putting it on extinction) may escalate the situation, as clients with antisocial behavior often do not respond well to being ignored.

B. Informing him that the nurse is busy and will talk to him later sets clear boundaries while acknowledging his request. It helps manage his behavior without reinforcing negative actions.

C. Encouraging him to talk with another nurse may not address his immediate need for attention and could result in further disruptive behavior.

D. Introducing him to the newly admitted client may not be appropriate as it could disrupt the admission process and potentially intimidate the new client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client's catheter bag was left on the client's bed for a prolonged period of time, and the client develops a urinary tract infection. In evaluating the cause of the infection, what should the nurse identify as the infection reservoir?

Correct Answer is C

Explanation

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Correct Answer is B

Explanation

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