Module 10 Nursing Exam Questions and Answers Graded A+ Latest Update 2023/2024

Module 10 Nursing Exam Questions and Answers Graded A+ Latest Update 2023/2024 1. 1.ID: A nurse provides instructions to a client about measures to prevent an acute attack of gout. The nurse determines that the client needs additional instructions if the client states: • “It’s important for me to drink a lot of fluids.” Incorrect • “A fad diet or starvation diet can cause an acute attack.” • “I don’t need medication unless I’m having a severe attack.” Correct • “Physical and emotional stress can cause an attack.” Rationale: Treatment of gout includes both nutrition and medication therapy. The client should be encouraged to limit the use of alcohol and reduce the consumption of foods high in purines. Such foods include sardines, herring, mussels, liver, kidney, goose, venison, and sweetbreads. Medication therapy is a primary component of management for clients with gout, and the physician normally prescribes a medication that will promote uric acid excretion or reduce its production. Fluid intake is important in preventing the development of uric acid stones. Fad or lOMoARcPSD| NURSING BIN starvation diets can precipitate an acute attack because of the rapid breakdown of cells they induce. Excessive physical and emotional stress can exacerbate the disease. Test-Taking Strategy: Use the process of elimination and your knowledge of the treatment for gout. Also note the strategic words “needs additional instruction,” which indicate a negative event query and the need to select the incorrect client statement. Recall that in this disorder the client experiences an increased uric acid level and that medications are needed to promote the acid’s excretion. Review the management of gout if you had difficulty with this question. Reference: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed., pp. 497, 1136). St. Louis: Saunders. Level of Cognitive Ability: Evaluating Client Needs: Physiological Integrity Integrated Process: Teaching and