Nokea
The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which food should the client avoid?
- A. Shellfish
- B. Apples
- C. Carrots
- D. Rice
Correct Answer: A
Rationale: Shellfish are high in purines, which increase uric acid levels, worsening gout. Apples, carrots, and rice are low-purine foods and safe.
You may also like to solve these questions
Goal setting for a client with Meniere's disease should include which of the following?
- A. Frequent ambulation
- B. Prevention of a fall injury
- C. Consumption of three meals per day
- D. Prevention of infection
Correct Answer: B
Rationale: Although not contraindicated, initially ambulation may be difficult because of vertigo and is recommended only with assistance. Vertigo resulting in balance problems is one of the most common manifestations of Meniere's disease. Adequate nutrition is important, but the emphasis in Meniere's disease is not the number of meals per day but a decrease in intake of sodium. Infection is not an anticipated problem.
Which one of the following situations represents a maturational crisis for the family?
- A. A four-year-old entering nursery school
- B. Development of preeclampsia during pregnancy
- C. Loss of employment and health benefits
- D. Hospitalization of a grandfather with a stroke
Correct Answer: A
Rationale: A maturational crisis involves normal developmental transitions, such as a child entering nursery school, which can stress family dynamics.
A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which laboratory value should the nurse monitor closely?
- A. Platelet count
- B. Prothrombin time (PT/INR)
- C. Hemoglobin
- D. Serum potassium
Correct Answer: B
Rationale: Warfarin affects clotting, requiring monitoring of PT/INR to ensure therapeutic anticoagulation. Platelets (A), hemoglobin (C), and potassium (D) are not directly affected.
Which task should be delegated to the licensed practical nurse?
- A. Administering heparin subcutaneously
- B. Feeding the client with a percutaneous endoscopy gastrostomy tube
- C. Removing a peripherally inserted central line
- D. Monitoring chest tube drainage
- E. Performing tracheostomy care
Correct Answer: A, B, D, E
Rationale: LPNs can administer subcutaneous heparin (A), feed via PEG tube (B), monitor chest tubes (D), and perform tracheostomy care (E). Removing a PICC line (C) requires RN-level expertise due to potential complications.
A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?
- A. Peanut butter and jelly sandwich and milk
- B. Corn beef and cabbage and boiled potatoes
- C. Oatmeal, whole-wheat toast, and milk
- D. Tuna on whole-wheat bread and iced tea
Correct Answer: B
Rationale: Gas-forming foods such as cabbage should be avoided.