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A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
- A. I'll drink white wine, not red.
- B. I'll limit the number of fruit servings I eat each day.
- C. I'll choose red meat instead of poultry.
- D. I'll eliminate liver from my diet.
Correct Answer: D
Rationale: Organ meats like liver are high in purines and should be eliminated to manage gout effectively, as purines increase uric acid levels.
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A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?
- A. Constipation.
- B. Blurred vision.
- C. Insomnia.
- D. Bleeding.
Correct Answer: D
Rationale: Bleeding is a well-known adverse effect of aspirin due to its inhibition of platelet aggregation, increasing the risk of gastrointestinal bleeding or bruising.
A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. (Use a leading zero if it applies. Do not use a trailing zero))
Correct Answer: 2 mL
Rationale: 4 mg ÷ 2 mg/mL = 2 mL. The nurse should administer 2 mL.
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?
- A. COPD.
- B. Anemia.
- C. Diabetes mellitus.
- D. Osteoporosis.
Correct Answer: C
Rationale: Diabetes mellitus increases UTI risk due to high blood sugar levels promoting bacterial growth and impaired immune function.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply)
- A. Polyuria.
- B. Sweating.
- C. Blurry vision.
- D. Tachycardia.
- E. Polydipsia.
Correct Answer: B,C,D
Rationale: Sweating, blurry vision, and tachycardia are manifestations of hypoglycemia due to adrenaline release and glucose deficiency affecting bodily functions.
A nurse is reinforcing dietary instructions with a client who has episodes of biliary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?
- A. A high protein diet.
- B. A high fiber diet.
- C. A low sodium diet.
- D. A low fat diet.
Correct Answer: D
Rationale: A low fat diet is recommended for clients with biliary colic from chronic cholecystitis as it reduces the workload on the gallbladder and decreases the risk of gallstone formation.