A 46-year-old male diagnosed with gouty arthritis is at high risk for developing:

Renal stones.

Cholelithiasis.

Liver failure.

Myocarditis.

Answer and Explanation

The Correct Answer is A

Choice A reason: Renal stones, also known as kidney stones, are a common complication of gouty arthritis. Gout is caused by the accumulation of uric acid crystals in the joints, leading to inflammation and pain. High levels of uric acid in the blood can also lead to the formation of uric acid stones in the kidneys. These stones can cause severe pain, urinary obstruction, and increase the risk of urinary tract infections. Therefore, patients with gout are at a higher risk of developing renal stones due to the elevated uric acid levels.

Choice B reason: Cholelithiasis, or gallstones, is not directly associated with gouty arthritis. Gallstones are formed from cholesterol or bilirubin in the gallbladder and are more commonly related to conditions such as obesity, diabetes, and certain liver diseases. While they can cause significant health issues, they are not a typical complication of gout.

Choice C reason: Liver failure is not a common complication of gouty arthritis. While liver disease can occur due to other underlying conditions or as a side effect of medications used to treat gout, it is not directly caused by the elevated uric acid levels or the inflammation characteristic of gout.

Choice D reason: Myocarditis, which is inflammation of the heart muscle, is not typically associated with gouty arthritis. Myocarditis can be caused by infections, autoimmune diseases, or other factors, but it is not a known complication of elevated uric acid levels or gout.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Seizures with auras can involve symptoms such as sensory disturbances before the seizure event, but they do not typically present with fever, nuchal rigidity (stiff neck), or decreased consciousness. These symptoms suggest an infectious or inflammatory process, not a seizure disorder.

Choice B reason: Parkinson's disease is a neurodegenerative disorder characterized by tremors, stiffness, and bradykinesia (slowness of movement). It does not present with acute fever, headache, nuchal rigidity, or altered consciousness, nor is it associated with a history of sinusitis. The symptoms described are more indicative of an infectious condition rather than a chronic degenerative disease.

Choice C reason: Bacterial meningitis is an infection of the protective membranes covering the brain and spinal cord (meninges). It is characterized by symptoms such as fever, severe headache, nuchal rigidity, and altered consciousness. The history of sinusitis suggests a possible route of infection, as bacteria from the sinuses can spread to the meninges. The clinical presentation strongly supports the diagnosis of bacterial meningitis, which is a medical emergency requiring prompt treatment.

Choice D reason: Migraines can cause severe headaches and may be accompanied by nausea, vomiting, and sensitivity to light and sound. However, they do not typically cause fever, nuchal rigidity, or decreased consciousness. The presence of fever and neck stiffness suggests an infectious etiology rather than a primary headache disorder like migraines.

A. There is a 25% chance that the offspring will be a carrier. B. There is a 50% chance that the offspring will be a carrier. C. There is a 75% chance that the offspring will be a carrier. D. There is a 100% chance that the offspring will be a carrier.

Correct Answer is B

Explanation

Choice A reason: There is not a 25% chance that the offspring will be a carrier. In the case of recessive disorders, if one parent is affected (homozygous recessive) and the other parent is a carrier (heterozygous), the offspring has a different probability of being a carrier or affected.

Choice B reason: There is a 50% chance that the offspring will be a carrier. If the mother is affected (aa) and the father is a carrier (Aa), each child has a 50% chance of inheriting one recessive allele (a) from the mother and one normal allele (A) from the father, making them a carrier (Aa).

Choice C reason: There is not a 75% chance that the offspring will be a carrier. The probability of the offspring being a carrier or affected follows specific Mendelian inheritance patterns, which do not result in a 75% carrier rate.

Choice D reason: There is not a 100% chance that the offspring will be a carrier. While there is a significant likelihood of the offspring being affected or a carrier, it is not guaranteed that all offspring will be carriers.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 46-year-old male diagnosed with gouty arthritis is at high risk for developing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient presents to a primary care provider reporting fever, headache, nuchal rigidity, and decreased consciousness. History includes a previously treated sinusitis. Which medical diagnosis is best supported by this assessment data?

Correct Answer is C

Explanation

A couple seeks counseling about the risk of their child developing a recessive disorder. The woman is affected and upon further testing it is determined that the man is a carrier. Which of the following is true?

Correct Answer is B

Explanation

The symptoms and signs of bowel obstruction are:

A patient diagnosed with a spinal cord injury experienced spinal shock lasting 15 days. The patient is now experiencing an uncompensated cardiovascular response to sympathetic stimulation. What does the nurse suspect caused this condition?

Which patient assessment would alert the nurse to withhold a loop diuretic?

Chronic pulmonary hypertension can eventually cause which complication?

Autonomic dysreflexia is characterized by:

Which patient assessment would alert the nurse to withhold a loop diuretic?

A nurse is monitoring a client receiving Isoniazid for adverse effects. The nurse determines that the client is experiencing a side effect of the medication, in which of the following?

A nursing student who is preparing to care for a postoperative patient with deep vein thrombosis asks the nurse why the patient must take heparin rather than warfarin. Which response by the nurse is correct?