Hesi RN Exit Proctored Exam
A client who is obese reports severe pain and is unable to bear weight in the right ankle after making dietary changes 3 weeks ago for weight loss. The client's medical history includes hypertension, gouty arthritis, and cholecystitis. Which instruction should the nurse include in the discharge teaching?
Explanation & Rationale
A. While substituting natural fruit juices for carbonated drinks is a healthier choice, it does not directly address the acute pain or the underlying condition. B. Using an electric heating pad may provide some relief; however, it should be approached cautiously, especially with a history of gout and potential complications. C. Avoiding the consumption of wine, beer, and coffee is crucial for clients with gout, as these substances can exacerbate hyperuricemia and precipitate gout attacks. D. Encouraging active range of motion is generally beneficial, but in the case of acute pain and inability to bear weight, it may not be advisable immediately.
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