A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)
High purine diet
Well-hydrated
Diuretic use
Starvation dieting
Normal BMI
Correct Answer : A,C,D
Choice A reason: A high purine diet is a risk factor for gout because purines are metabolized into uric acid, which can accumulate and form crystals in the joints.
Choice B reason: Being well-hydrated is not a risk factor for gout; in fact, adequate hydration helps prevent gout attacks by diluting and promoting the excretion of uric acid.
Choice C reason: Diuretic use can increase the risk of gout by reducing the kidneys' ability to excrete uric acid, leading to higher levels in the blood.
Choice D reason: Starvation dieting can lead to an increase in uric acid production, raising the risk of gout attacks.
Choice E reason: Having a normal BMI is not a risk factor for gout. Obesity is a known risk factor, while maintaining a healthy weight can reduce the risk of developing gout.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Mild headaches are not typically associated with increased intraocular pressure. While headaches can accompany eye conditions, they are not as common or specific as severe eye pain in this context.
Choice B reason: Cloudiness that worsens at night could be related to cataracts or other eye conditions but is not a specific manifestation of increased intraocular pressure. Severe eye pain is a more direct indicator of conditions like acute angle-closure glaucoma.
Choice C reason: Severe eye pain is a significant clinical manifestation of increased intraocular pressure, such as in acute angle-closure glaucoma. This condition can lead to sudden, severe eye pain due to the rapid rise in intraocular pressure, which can damage the optic nerve if not treated promptly.
Choice D reason: Mild eye pain may occur in various minor eye conditions but is not as indicative of serious issues like increased intraocular pressure. Severe eye pain is more concerning and requires immediate assessment and intervention.
Correct Answer is A
Explanation
Choice A reason: Older adults commonly experience a decline in short-term memory as part of the normal aging process. This can make it more difficult to recall recent events or information.
Choice B reason: Older adults typically have decreased, not increased, reflexes due to changes in the nervous system.
Choice C reason: Older adults often experience a decline in fine motor movement, rather than an increase. Age-related changes can affect dexterity and coordination.
Choice D reason: Long-term memory is generally preserved longer in older adults compared to short-term memory. Older adults are more likely to have difficulties with recent memories.
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