Nokea
The nurse is teaching a client with gout about dietary management. Which of the following foods should the client avoid?
- A. Spinach.
- B. Cherries.
- C. Organ meats.
- D. Whole grains.
Correct Answer: C
Rationale: Organ meats are high in purines, which increase uric acid levels and should be avoided in gout.
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A client is prescribed buspirone (BuSpar) 5mg two times a day. Which of the following statements indicates that the client has understood the nurse's teaching about this drug? Select all that apply.
- A. This medicine will make me sleepy
- B. BuSpar will relax my muscles
- C. My anxiety will be completely gone by tomorrow
- D. BuSpar will help me not to worry so much
- E. I'll be able to focus better
Correct Answer: D,E
Rationale: Buspirone reduces anxiety and improves focus without causing sedation or muscle relaxation. Expecting complete anxiety relief by tomorrow is unrealistic, as it takes weeks to be effective.
The nurse should assess the child with nephrotic syndrome for which of the following? Select all that apply.
- A. Normal blood pressure.
- B. Generalized edema.
- C. Normal serum lipid levels.
- D. No red blood cells in the urine.
- E. Elevated streptococcal antibody titers.
Correct Answer: B,D
Rationale: Nephrotic syndrome is characterized by generalized edema and no red blood cells in the urine. Blood pressure may be elevated, serum lipids are typically high, and streptococcal antibodies are not typically associated.
The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child's parent during the assessment?
- A. Has your child had difficulty urinating?
- B. Has your child been exposed to anyone with chickenpox?
- C. Has any family member had a sore throat within the past few weeks?
- D. Has any family member had a gastrointestinal disorder in the past few weeks?
Correct Answer: C
Rationale: Rheumatic fever characteristically presents 2 to 6 weeks after an untreated or partially treated group A beta-hemolytic streptococcal infection of the respiratory tract. Initially the nurse determines whether any family member has had a sore throat or unexplained fever within the past few weeks. The remaining options are unrelated to the assessment findings of rheumatic fever.
The nurse is planning care for a client who chews the fingers constantly. Before applying mitten restraints, the nurse could try which of the following interventions? Select all that apply.
- A. Ask the client to rub lotion over the hands every day after bathing.
- B. Encourage physical activity, such as ambulation.
- C. Provide frequent contacts for communication and socialization.
- D. Provide family education.
- E. Encourage involvement of family and friends.
Correct Answer: A,B,C,E
Rationale: Non-restrictive interventions like applying lotion, encouraging physical activity, providing social interaction, and involving family can address the behavior's underlying causes, such as anxiety or sensory needs, while promoting client autonomy and engagement.
A client is taking 600 mg of valproic acid (Depakene) twice daily. The nurse should assess the client for which of the following? Select all that apply.
- A. Tremors.
- B. Hair loss.
- C. Gastrointestinal upset.
- D. Anorexia.
- E. Weight gain.
Correct Answer: A,C,E
Rationale: Valproic acid commonly causes tremors, gastrointestinal upset (e.g., nausea), and weight gain. Hair loss and anorexia are less common side effects.