The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?

Correct Answer: B

Rationale: The correct answer is B. This statement is the most appropriate because it focuses on providing practical solutions to enhance the client's safety at home while managing rheumatoid arthritis. Adaptive devices like grab bars, reaching tools, grasping devices, and adaptive silverware can help the client maintain independence and prevent accidents. Choice A is incorrect as it does not provide practical advice on home safety but rather a personal anecdote. Choice C is incorrect as throw rugs can pose a tripping hazard instead of enhancing safety. Choice D is also incorrect as it does not directly address home safety measures but rather shifts the focus to medication compliance.

Correct Answer: C

Rationale: In Maslow's Hierarchy of Needs, shelter belongs to the level of Safety and Security. This is because shelter provides individuals with protection from physical elements, danger, and harm, thereby fulfilling their need for safety. Physiological needs, represented by option B, include basic requirements for survival such as food, water, and warmth, which are essential for sustaining life but are distinct from shelter. Love and belonging (option A) involve social connections and relationships, while esteem (option D) pertains to self-esteem, confidence, and recognition by others. Educationally, understanding Maslow's Hierarchy of Needs is crucial for various fields such as psychology, healthcare, and education. It helps professionals recognize and address individuals' fundamental needs to promote well-being and success. By correctly placing shelter under Safety and Security, individuals can better comprehend the hierarchy and its implications in providing holistic care.

Correct Answer: B

Rationale: In the context of managing gout through a low-purine diet, option B, "I should avoid eating liver and other organ meats," is the correct choice. Organ meats like liver are high in purines, which can lead to increased uric acid levels and worsen gout symptoms. By avoiding organ meats, the client can better control their purine intake, thereby reducing the risk of gout flare-ups. Option A, "I should choose red meat instead of poultry," is incorrect as both red meat and poultry can be high in purines. Red meat, in general, should be limited in a low-purine diet. Option C, "I can drink only white wine," is incorrect as alcohol, in general, should be consumed in moderation or avoided, particularly beer and spirits which are high in purines. White wine still contains purines and should not be the focus of dietary changes for gout management. Option D, "I will need to limit the number of fruit servings each day," is incorrect as most fruits are low in purines and are generally considered safe for individuals with gout. It is important to focus more on limiting high-purine foods like organ meats and certain seafood rather than fruits when following a low-purine diet for gout. Educationally, this question highlights the importance of understanding the specific dietary recommendations for managing conditions like gout. It emphasizes the need for clients to be aware of which foods to avoid or limit to effectively control their symptoms and improve their overall health.

Correct Answer: A

Rationale: In this scenario, Option A is the correct answer because it provides essential information regarding the adverse effects associated with nonsteroidal anti-inflammatory drugs (NSAIDs), which are commonly prescribed for conditions like osteomyelitis. Liver failure and tinnitus are significant adverse effects of NSAIDs that the nurse should educate the client about to ensure proper medication management and monitoring. Option B is incorrect as it refers to acetaminophen, not NSAIDs, and gastrointestinal bleeding is not the main side effect of acetaminophen. Option C is partially correct as it highlights the maximum daily dose of acetaminophen, but it does not address the specific teaching related to NSAIDs for osteomyelitis. Option D is incorrect as NSAIDs do have potential side effects, and it is essential for the nurse to educate the client about these risks. From an educational perspective, understanding the potential adverse effects of medications is crucial for nurses to provide comprehensive care and ensure patient safety. By explaining the specific risks associated with NSAIDs in the context of osteomyelitis treatment, nurses can empower patients to make informed decisions about their health and medication management.

Correct Answer: D

Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.