A nurse in an outpatient clinic.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Potential Condition: Gout
Actions to take:
Instruct the client to avoid foods high in purines
Instruct the client to apply heat and cold
Parameters to monitor
Uric Acid levels
ESR
Rationale:
Gout: Elevated uric acid level (7.2 mg/dL) suggests hyperuricemia, a key indicator of gout. Localized joint pain and crepitus in the right knee and left wrist are common gout symptoms. Family history of gout increases the client's risk. Negative ANA test and normal ESR make autoimmune conditions (RA, SLE) less likely.
Actions to Take:
Instruct the client to avoid foods high in purines: High-purine foods (e.g., red meat, seafood, alcohol) increase uric acid production, worsening gout attacks.
Instruct the client to apply heat and cold: Cold helps reduce inflammation and pain during acute flare-ups, while heat can ease stiffness between episodes.
Parameters to Monitor:
Uric acid levels: Monitoring serum uric acid helps assess treatment effectiveness and risk for future attacks.
ESR (Erythrocyte Sedimentation Rate): Elevated ESR can indicate ongoing inflammation. Tracking it helps evaluate disease activity and response to interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. The test is not repeated at 2 months unless results are inconclusive.
B. Blood for the test is collected from the newborn’s heel, not the inner elbow.
C. Newborn genetic screening should be performed after 24 hours of age, once the baby has had adequate feedings, which ensures accurate metabolic screening.
D. The baby does not need to drink water before the test.
Correct Answer is A
Explanation
A. In a mass casualty event, hospitals must free up beds for incoming critical patients. The nurse should help identify stable clients for early discharge.
B. A hospital spokesperson, not the nurse, handles media relations.
C. Triage in the emergency department is not the medical-surgical nurse’s role.
D. Calling additional staff may be necessary, but freeing up beds is the priority.
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