A nurse is educating a patient with gout about a low-purine diet. Which food choice by the patient would indicate the need for further teaching?
a. Pizza with pepperoni
b. Seafood platter with scallops and mussels
c. Chicken salad with nuts
d. Tuna sandwich with potato chips
B
Seafood, such as scallops and mussels, are high in purine.
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The nurse administers a specific medication to an older adult patient every 4 hours. The patient has a history of chronic renal failure. Why would this patient be at risk for toxic drug levels?
A) Cumulative effect B) First-pass effect C) Drug interactions D) Cross-tolerance effect
An older aphasic client has severe osteoarthritis, bilateral contractures of the lower extremities, and a stage IV pressure ulcer
The nurse practitioner prescribes analgesic medications to be administered around-the-clock, with as-needed doses to be administered as appropriate. What observation by the nurse would indicate that the pain regimen is effective? (Select all that apply.) a. "Client slept throughout the night." b. "Client winces only when turned and re-positioned." c. "Client slept during dressing change." d. "Client cooperative during morning care." e. "Client ate 80% of breakfast, 70% of lunch, and 100% of dinner."
The priority nursing diagnosis for a patient experiencing acute compartment syndrome is:
A) Activity intolerance B) Risk for peripheral neurovascular dysfunction C) Risk for imbalanced body temperature D) Disturbed body image
A mother of a premature newborn questions why a gavage-feeding catheter is placed in the mouth of the newborn, and not in the nose. What is the nurse's best response?
A. "Most newborns are nose breathers." B. "The tube will elicit the sucking reflex." C. "A smaller catheter is preferred for feedings." D. "Most newborns are mouth breathers."