Answer to Question 1
Correct Answer: 1,4,5
Rationale 1: Limiting or eliminating alcohol consumption is standard treatment for gout.
Rationale 2: Salmon and sardines should be eliminated from the diet.
Rationale 3: Vitamin C may acidify the urine and lead to formation of uric acid stones.
Rationale 4: Increasing fluid intake increases uric acid excretion.
Rationale 5: The client should be taught to report worsening or continued inflammation or pain.
Answer to Question 2
Correct Answer: 1,3,5
Rationale 1: The outermost layer of the epidermis, or stratum coneum, forms an effective barrier. Most substances cannot penetrate this barrier.
Rationale 2: The dermis, not the epidermis, provides a foundation for the accessory structures such as hair and nails.
Rationale 3: The amount of subcutaneous tissue varies, and is determined by nutritional status and heredity.
Rationale 4: Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the dermis, not the subcutaneous fat.
Rationale 5: The deepest epidermal sublayer supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear.
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