a nurse is teaching a client how to follow a low purine diet as prescribed by the provider for the management of gout what statement by the client ind

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement by the client indicates a correct understanding of the teaching?

A. "I should choose red meat instead of poultry."?
B. "I should avoid eating liver and other organ meats."?
C. I can drink only white wine."?
D. "I will need to limit the number of fruit servings each day."?

Correct answer: B

Rationale:

2. What is one of the earliest signs of fat embolism syndrome?

A. Paresthesia
B. Severe pain in the affected limb unrelieved by medication
C. Edema
D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.

3. What complication of fractures is caused by increased pressure which can result in decreased circulation to the area?

A. Venous thromboembolism
B. Acute compartment syndrome
C. Fat embolism syndrome
D. Hemorrhage

Correct answer: B

Rationale: Acute compartment syndrome is the correct answer. It involves increased pressure within muscles, leading to decreased blood flow and tissue damage. Venous thromboembolism (Choice A) is a condition where a blood clot forms in a vein, usually in the leg. Fat embolism syndrome (Choice C) occurs when fat globules enter the bloodstream and block blood vessels. Hemorrhage (Choice D) refers to bleeding, which can occur with fractures but does not specifically involve increased pressure leading to decreased circulation as in acute compartment syndrome.