The nurse is teaching a client with gout dietary strategies to prevent exacerbations or other problems. Which statement by the nurse is most appropriate?

a. "Drink 1 to 2 liters of water each day."
b. "Have 10 to 12 ounces of juice a day."
c. "Liver is a good source of iron."
d. "Never eat hard cheeses or sardines."


ANS: A
Kidney stones are common in clients with gout, so drinking plenty of water will help prevent this from occurring. Citrus juice is high in ash, which can help prevent the formation of stones, but the value of this recommendation is not clear. Clients with gout should not eat organ meats or fish with bones, such as sardines.

Nursing

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A new nurse takes a job in a clinic that works with immigrants from many different cultures. The nurse recognizes that to be culturally sensitive, the nurse will need to: Standard Text: Select all that apply

1. Determine means to indoctrinate the patients in the American culture. 2. Gain knowledge about the cultural groups attending the clinic. 3. Avoid the use of interpreters to reduce the impression of a bias. 4. Honor the cultural variations of the patients at the clinic. 5. Acquire information and educational media, such as pamphlets and teaching videos, that use languages spoken by the cultural groups attending the clinic.

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A client with a cerebrovascular accident (CVA) is having difficulty with eating food on the plate. Which is the best nursing action to be taken?

A) Perform a vision field assessment. B) Reposition the tray and plate. C) Assist the client with feeding. D) Know this is a normal finding for CVA.

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The priority intervention for a client with epidural anesthesia whose blood pressure is 80/50 mm Hg is:

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How is the sputum of a viral infection different from the sputum of a bacterial infection?

a. Sputum production is greater with viral conditions than with bacterial infections. b. The sputum is odorous in viral conditions and nonodorous in bacterial infections. c. The sputum is yellow, green, or rust-colored in bacterial infections and mucoid in viral infections. d. The sputum is much thinner in bacterial infections than in viral infections.

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