A nurse has been assigned four patients, of which one of the patients has impaired immobility. Which complications should the nurse expect as a result of gout? (Select the four options that apply.)

Erythema

Hyperuricemia

Pain

Diarrhea

Answer and Explanation

Correct Answer : A,B,C,E

A. Erythema (redness) can occur at the site of a gout attack due to inflammation in the affected joint.

B. Hyperuricemia (elevated levels of uric acid in the blood) is a hallmark of gout, leading to the formation of urate crystals.

C. Pain is a prominent symptom of gout, particularly during an acute attack when joints become inflamed and tender.

D. Diarrhea is not a direct complication of gout; it is more associated with gastrointestinal issues or medications.

E. Edema (swelling) can occur in the affected joint due to inflammation associated with gout.

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Correct Answer is B

Explanation

A. Early ventricular repolarization is represented by the T wave, not the P wave.

B. The P wave represents atrial depolarization, which is the electrical activity that triggers the contraction of the atria.

C. Slow repolarization of ventricular Purkinje fibers is represented by the T wave, not the P wave.

D. Ventricular depolarization is represented by the QRS complex, not the P wave.

A. Metabolic alkalosis B. Respiratory alkalosis C. Respiratory acidosis D. Metabolic acidosis

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and elevated bicarbonate levels, which is not present in these results.

B. Respiratory alkalosis would present with an increased pH and decreased PaCO2, which does not apply here.

C. The low pH (7.12) indicates acidemia, and the elevated PaCO2 (90 mm Hg) suggests hypoventilation and respiratory acidosis due to CO2 retention. The bicarbonate level is within normal limits, further supporting respiratory acidosis.

D. Metabolic acidosis would be indicated by a low pH and low bicarbonate levels; however, the bicarbonate is normal in this case, ruling out metabolic acidosis.

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A nurse has been assigned four patients, of which one of the patients has impaired immobility. Which complications should the nurse expect as a result of gout? (Select the four options that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interpreting the ECG strip of a client who has bradycardia. Which cardiac components should the nurse identify as the role of the P wave?

Correct Answer is B

Explanation

A client who is found unresponsive has arterial blood gases drawn, and the results indicate the following: - pH is 7.12 (normal range: 7.35-7.45) - PaCO2 is 90 mm Hg (normal range: 35-45) - HCO3- is 22 mEq/L (normal range: 22-26) The nurse interprets the results as indicating which condition?

Correct Answer is C

Explanation

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