A nurse is providing education to a client newly diagnosed with gout.
Which statement by the nurse accurately describes the pathophysiology of gout?
"Gout is caused by a bacterial infection in the joints.”
"Gout results from an excess of uric acid crystallizing in the joints.”
"Gout occurs when there is too much calcium buildup in the joint spaces.”
"Gout is primarily due to an autoimmune response targeting joint tissues.”
The Correct Answer is B
"Gout is caused by a bacterial infection in the joints." This statement is not accurate.
Gout is not caused by a bacterial infection.
Gout results from the accumulation of uric acid crystals in the joints, leading to inflammation and pain.
Choice C rationale:
"Gout occurs when there is too much calcium buildup in the joint spaces." This statement is incorrect.
Gout is primarily associated with the buildup of uric acid crystals, not calcium.
Calcium deposits in joints are more commonly seen in conditions like calcium pyrophosphate deposition disease (CPPD) or pseudogout.
Choice D rationale:
"Gout is primarily due to an autoimmune response targeting joint tissues." This statement is inaccurate.
Gout is not primarily an autoimmune disorder.
It is a metabolic disorder characterized by the deposition of uric acid crystals in joints, which triggers an inflammatory response.
Autoimmune disorders involve the immune system mistakenly attacking the body's own tissues, which is not the case in gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"I will take the nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain" is a reasonable statement, as NSAIDs are often prescribed for pain relief during gout attacks.
However, it's important to note that NSAIDs should be taken as directed by the healthcare provider, and their use should be monitored due to potential side effects.
Choice B rationale:
"I'll make sure to use colchicine during acute attacks to reduce inflammation" is the correct choice.
Colchicine is an anti-inflammatory medication commonly used to treat gout during acute attacks.
Choice C rationale:
"I should avoid corticosteroids unless my doctor says they are necessary" is a reasonable statement.
Corticosteroids are typically reserved for cases of gout where other treatments are ineffective, and their use should be under medical supervision.
Choice D rationale:
"I will take allopurinol regularly to lower my uric acid levels" is a correct statement.
Allopurinol is a medication used to lower uric acid levels in individuals with gout, helping to prevent future attacks.
It is a part of long-term gout management.
Correct Answer is D
Explanation
Choice A rationale:
"Chronic gouty arthritis." Chronic gouty arthritis is a potential complication of gout, but it is not the highest priority when discussing potential risks with the client.
Kidney stones and kidney damage (nephrolithiasis) are more concerning complications due to their impact on overall health.
Choice B rationale:
"Tophi formation in joints and soft tissues." Tophi formation is a complication of gout and can lead to joint deformities and limited mobility.
While it is important to address, kidney stones and kidney damage pose a more immediate and severe threat to the client's well-being.
Choice C rationale:
"Joint deformities and limited mobility." This is a valid concern, but kidney stones and kidney damage (nephrolithiasis) should be prioritized when discussing potential complications of gout because they can have more serious systemic consequences.
Choice D rationale:
"Kidney stones or kidney damage (nephrolithiasis)." This is the correct choice.
Kidney stones and kidney damage can result from the deposition of urate crystals in the kidneys, which is a complication of gout.
These complications can lead to significant health issues and should be prioritized in discussions with the client.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.