The nurse is preparing a client with gout for discharge. Which dietary selection reflects an understanding of the client's condition?

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Question 1 of 5

The nurse is preparing a client with gout for discharge. Which dietary selection reflects an understanding of the client's condition?

Correct Answer: A

Rationale: Broiled chicken, rice, and iced tea suit gout, avoiding purine-rich foods (sardines, shrimp) or alcohol (wine, beer) that raise uric acid lima beans and spinach also contribute less but aren't ideal. Nurses teach this, reducing flare-ups, supporting joint health and client compliance.

Question 2 of 5

The nurse is caring for a client with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?

Correct Answer: A

Rationale: Troponin I is the most specific marker for myocardial infarction, rising within hours and staying elevated for days CK and myoglobin are less specific, LDH is outdated. Nurses monitor this, correlating with ECG and symptoms, aiding rapid diagnosis and treatment.

Question 3 of 5

A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:

Correct Answer: B

Rationale: Taking Glucotrol XL with breakfast aligns with its peak action to control post-meal glucose in diabetes bedtime, pre-lunch, or post-dinner mistime it. Nurses teach this, ensuring glycemic control, vital for managing type 2 diabetes effectively.

Question 4 of 5

The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?

Correct Answer: D

Rationale: Progressive weakness worse at day's end (fatigue) is classic in myasthenia gravis, due to acetylcholine receptor issues diplopia occurs but isn't primary, ascending paralysis fits Guillain-Barré, and rigidity is Parkinson's. Nurses assess this, aiding diagnosis, key for neuromuscular care.

Question 5 of 5

The nurse is providing dietary teaching for a client with a history of nephrotic syndrome. Which food should the client be instructed to avoid?

Correct Answer: B

Rationale: Canned chicken noodle soup, high in sodium, worsens edema in nephrotic syndrome baked chicken, apples, and broccoli are low-sodium and protein-friendly. Nurses teach sodium restriction, reducing fluid retention, supporting kidney function in this protein-losing condition.

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