Nokea
A client has a new diagnosis of gout, and the nurse is providing dietary management education. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of purine-rich foods.
- B. You should decrease your intake of purine-rich foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: The correct answer is to decrease intake of purine-rich foods to manage uric acid levels and symptoms of gout. Purine-rich foods can exacerbate gout symptoms by increasing uric acid production, leading to flare-ups. Therefore, reducing purine intake is essential in the dietary management of gout. Option A is incorrect because increasing purine-rich foods can worsen gout symptoms. Option C is irrelevant as lactose is not directly related to gout. Option D is incorrect as increasing dairy products is not a recommended dietary modification for managing gout.
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Mr. Gary's wife wanted to see the body before it is removed from the room. Which of the following is the most appropriate response by the nurse?
- A. I'm sorry but you can't see him now'
- B. Let me prepare the body first then you can see him'
- C. It's better if you don't see him'
- D. You can see him but only for a minute'
Correct Answer: B
Rationale: Let me prepare the body first (B) is most appropriate respects Mrs. Gary's wish while ensuring dignity, per care standards. Denying (A) or discouraging (C) dismisses, time-limiting (D) restricts. B balances support and preparation, making it correct.
A client with a new diagnosis of COPD is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. You should increase your intake of high-calorie foods.
- B. You should decrease your intake of high-protein foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of high-fiber foods.
Correct Answer: A
Rationale: The correct statement to include in the teaching for a client with a new diagnosis of COPD is that they should increase their intake of high-calorie foods. This is important to help maintain energy levels and manage weight. COPD can lead to increased energy expenditure due to the increased work of breathing, making it crucial to consume adequate calories for energy. High-calorie foods can help prevent weight loss and support overall nutritional status in COPD patients. Choice B is incorrect because high-protein foods are important for maintaining muscle mass in COPD patients. Choice C is incorrect as there is no need to avoid foods that contain lactose unless the client is lactose intolerant. Choice D is incorrect as increasing high-fiber foods may exacerbate symptoms like bloating and gas in COPD patients.
A client is hospitalized with hepatitis A. Which of the client's regular medications is contraindicated due to the current illness?
- A. Prilosec (omeprazole)
- B. Synthroid (levothyroxine)
- C. Premarin (conjugated estrogens)
- D. Lipitor (atorvastatin)
Correct Answer: D
Rationale: Lipitor (atorvastatin) is contraindicated in active hepatitis A due to liver metabolism, risking hepatotoxicity Prilosec, Synthroid, and Premarin aren't similarly affected. Nurses hold statins, monitoring liver function, ensuring safety during acute liver inflammation.
A client's wife has been informed by the physician that her spouse has a permanent C2-C3 spinal injury, which has resulted in permanent quadriplegia. The wife states that she does not want the physician or nursing staff to tell the client about his injury. The client is awake, alert, and oriented when he asks his nurse to tell him what has happened. The nurse has conflicting emotions about how to handle the situation and is experiencing:
- A. autonomy.
- B. moral distress.
- C. moral doubt.
- D. moral courage.
Correct Answer: B
Rationale: The nurse's conflict between truth-telling and the wife's request is moral distress (B), feeling unable to act ethically. Autonomy (A) is patient rights. Doubt (C) is uncertainty. Courage (D) is acting despite fear. B is correct. Rationale: Moral distress arises from ethical dilemmas, common in nursing when values clash, per ethics frameworks, requiring resolution.
Which of the following statement is NOT true about coping?
- A. A response to stress
- B. Can be adaptive or maladaptive
- C. Always solves the problem
- D. May involve problem solving
Correct Answer: C
Rationale: Coping responds to stress (A), can be adaptive/maladaptive (B), may solve problems (D) 'always solves' (C) isn't true, as some coping (e.g., denial) avoids, per Lazarus. C's certainty fails, making it untrue.