The nurse is reinforcing teaching for a patient with gout. The selection by the patient of which of the following foods would indicate the need for additional teaching?
a. Perch
b. Sardines
c. Pike
d. Bass
ANS: B
Avoid high-purine (protein) foods, such as organ meats, shellfish, and oily fish (e.g., sardines).
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The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient?
A) Decreased level of consciousness with a sudden onset B) The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air C) Maternal bradycardia accompanied by a prolonged QT interval D) Systolic blood pressure readings in excess of 190 mmHg
Which of the following are basic responsibilities of nurses who administer psychotherapeutic drugs? (Select all that apply.)
a. Monitoring and evaluating the client's response to the medication b. Continually assessing the client's condition c. Adjusting medication dosages according to therapeutic levels d. Assisting in the coordination of the client's care e. Teaching clients about their medications f. Administering prescribed medications
The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process?
A) Finding an integrated health program for the family B) Teaching modifications of the medical regimen for vacation C) Assessing family expectations for the special-needs child D) Creating schedules for therapies and interventions
The client and his wife receive the same medication for hypertension. The wife asks the nurse why she is receiving a higher dose of the medication. Which response by the nurse is the most appropriate?
1. "You have a greater percentage of body fat, so you need more medication." 2. "Females have a higher metabolism, so you need more medication." 3. "Your hormones are different from your husband's, so you need more medication." 4. "Everyone is unique and responds differently to medication."