Nokea
A nurse is caring for a client with gout. Which of the following would the nurse encourage the client to limit?
- A. Fluid intake
- B. Protein-rich foods
- C. Purine-rich foods
- D. Carbohydrates
Correct Answer: C
Rationale: Clients with gout should be advised to have adequate protein with the limitation of purine-rich foods to avoid contributing to the underlying problem. The diet should also be relatively high in carbohydrates and low in fats because carbohydrates increase urate excretion and fats retard it. A high fluid intake is recommended because it helps increase the excretion of uric acid.
You may also like to solve these questions
A client with diabetes punctured the foot with a sharp object. Within a week, the client developed osteomyelitis of the foot. The client was admitted for IV antibiotic therapy. How long does the nurse anticipate the client will receive IV antibiotics?
- A. 6 months
- B. 7 to 10 days
- C. 2 to 3 weeks
- D. At least 4 weeks
Correct Answer: D
Rationale: Identification of the causative organism to initiate appropriate and ongoing antibiotic therapy for infection control. IV antibiotic therapy is administered for at least 4 weeks, followed by another 2 weeks (or more) of IV antibiotics or oral antibiotics.
A client is suspected to have Lyme disease and has a red macule at the site of the tick bite with a bull's-eye rash with round rings surrounding the center. In addition, the client has a severe headache with neck stiffness. What stage of Lyme disease does the nurse suspect?
- A. Early stage 1
- B. Mid-stage
- C. Later stage
- D. Latent stage
Correct Answer: A
Rationale: Early stage 1 symptoms for about one third of clients include a red macule or papule at the site of the tick bite, a characteristic bull's-eye rash (called erythema migrans) with round rings surrounding the center, severe headache, and neck stiffness. Mid-stage and later stage symptoms include more systemic involvement like joint pain or neurological symptoms, while the latent stage may be asymptomatic.
A client is informed of having a benign bone tumor but that this type of tumor may become malignant. The nurse knows that this is characteristic of which type of tumor?
- A. Osteochondroma
- B. Enchondroma
- C. Osteoclastoma
- D. Osteoid osteoma
Correct Answer: C
Rationale: An osteoclastoma is a giant cell tumor that may invade local tissue; usually soft and hemorrhagic and may become malignant. An osteochondroma occurs as a large projection of bone at the ends of long bones, developing during growth periods and then becoming static bone mass. An enchondroma is a hyaline cartilage tumor that develops in the hand, ribs, femur, tibia, humerus, or pelvis. An osteoid osteoma is a painful tumor surrounded by reactive bone tissue.
A client has been treated for migraine headaches for several months and comes to the clinic reporting no improvement. The nurse is talking with the client and hears an audible click when the client is moving the jaw. What does the nurse suspect may be happening?
- A. Trigeminal neuralgia
- B. Temporomandibular disorder
- C. Loose teeth
- D. Dislocated jaw
Correct Answer: B
Rationale: The disorder can be confused with trigeminal neuralgia and migraine headaches. The client experiences clicking of the jaw when moving the joint, or the jaw can lock, which interferes with opening the mouth. Loose teeth will not cause a clicking of the jaw. The client does not have a dislocated jaw.
The nurse is providing teaching to a client with a mild case of bunions. Which suggestion would be most important for the nurse to give this client?
- A. Avoid strenuous exercise.
- B. Avoid foot creams.
- C. Don proper footwear.
- D. Regularly use analgesics.
Correct Answer: C
Rationale: The most important instruction a nurse should give clients with bunions or hammer toe is to don proper footwear. Low-heeled, well-fitted shoes are recommended. Regular use of analgesics is not necessary for bunions if pain is not severe and the client has little or no difficulty. The client need not avoid strenuous exercise, running, or foot creams if the footwear is appropriate.