A nurse is assessing a patient with suspected gout.
Which clinical manifestations should the nurse expect to find in this patient? .
"My joint pain has been gradually increasing over the past few months.”
"I have noticed that my joint is swollen, red, and warm.”
"I can move my affected joint without any limitations.”
"I have been experiencing hard lumps of uric acid crystals under my skin.”
The Correct Answer is B
Choice A rationale:
The statement, "My joint pain has been gradually increasing over the past few months," is indicative of gout, but it is not a specific clinical manifestation.
Gout typically presents with sudden and severe joint pain during acute attacks.
Choice B rationale:
"I have noticed that my joint is swollen, red, and warm" is the correct choice.
These are classic clinical manifestations of gout during an acute attack.
The accumulation of uric acid crystals in the joint causes inflammation, leading to redness, warmth, and swelling.
Choice C rationale:
"I can move my affected joint without any limitations" is not consistent with gout.
Gout attacks often limit joint mobility due to pain and inflammation.
Choice D rationale:
"I have been experiencing hard lumps of uric acid crystals under my skin" describes tophi, which are a more advanced manifestation of gout.
While tophi can occur in some cases, they are not one of the initial clinical manifestations of gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Avoid foods high in calcium." This choice is not directly related to gout management.
Calcium is not a significant factor in the development or exacerbation of gout.
Therefore, there is no need to instruct the patient to avoid foods high in calcium as a primary dietary modification for gout.
Choice B rationale:
"Avoid foods high in vitamin C." While vitamin C can be associated with gout prevention due to its potential to lower uric acid levels, it is not a primary dietary modification for reducing purine intake.
Purines are the compounds primarily responsible for uric acid production, and avoiding foods high in purines is a more effective dietary strategy.
Choice C rationale:
"Avoid foods high in purines." This is the correct choice.
Purines are broken down into uric acid, and excess uric acid can lead to gout attacks.
Therefore, advising the patient to avoid foods high in purines is a key dietary recommendation for gout management.
Choice D rationale:
"Avoid foods high in fiber." Fiber is generally considered a healthy component of the diet and is not specifically related to gout management.
There is no need to instruct the patient to avoid foods high in fiber as part of dietary modifications for gout.
Correct Answer is C
Explanation
"Gout is typically treated with antibiotics." This statement is incorrect.
Gout is not caused by bacteria, so antibiotics are not the primary treatment.
Antibiotics are used to treat bacterial infections, not gout.
Choice B rationale:
"Surgical intervention is necessary to remove uric acid crystals." Surgical intervention is not the primary treatment for gout.
Medications and lifestyle modifications are the mainstays of gout management.
Surgery may be considered in rare cases with severe joint damage or when other treatments are ineffective, but it is not the first-line approach.
Choice D rationale:
"Physical therapy is the primary treatment for g gout." Physical therapy can be a helpful adjunctive therapy for gout patients, especially in managing joint function and mobility, but it is not the primary treatment.
Medications to lower uric acid levels and manage pain are the cornerstone of gout treatment.
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