A nurse is organizing a teaching plan for a patient with gout. What should the nurse caution this patient he is at an increased risk for?
a. Kidney stones
b. Tophi
c. Visual disturbances
d. Facial lesions
A
The threat of kidney stones is a lifelong problem for patients with gout. Tophi are symptomatic of the disease but are not a complication. Facial lesions and visual disturbances are noncontributory.
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A client tells the nurse that "My sister just never picks up colds or other illnesses that go around
each year. The only difference between the two of us is that she is highly involved in her church, while I'm not very spiritual.". The reply that shows the best understanding of psychoimmunology is a. "It is probably just a coincidence.". b. "No correlation between spirituality and wellness exists.". c. "Studies have shown that spiritual practices can enhance immune system function.". d. "The mind and body are closely interrelated, so what you say may be true.".
A client is receiving treatment with liquid nitrofurantoin (Furadantin). Which is the highest priority instruction that the nurse can provide to this client regarding accurate administration of the medication?
a. "The medication should be mixed with cold water before drinking it." b. "Urine will turn orange immediately after you swallow the drug." c. "You should ask the pharmacist for a sy-ringe to measure the dose." d. "The drug is available in granules that must be dissolved."
For a patient in traction who has skeletal pins, the nurse should:
a. use povidone-iodine to cleanse the pin site. b. apply antiseptic ointment and cover with a split dressing. c. use hydrogen peroxide as a rinse before a dressing is applied. d. do both pin sites at the same time, with the same swab and solution.
The nurse encourages a patient to use the problem-focused approach to reduce stress to ___________________________________. (Select all that apply.)
a. confront a stressor. b. use emotional distancing to alter perception of the stressor. c. develop alternative coping skills. d. identify a specific stressor. e. practice a strategy with small stressors.