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 A
Explanation
Choice A rationale:
"Acetaminophen" is the appropriate alternative for pain relief in a client with gout who is allergic to NSAIDs and cannot take corticosteroids.
Acetaminophen is a non-prescription pain reliever that can be used for pain management in gout and is not known to exacerbate gout symptoms.
Choice B rationale:
"Aspirin" is generally not recommended for gout pain relief because it may interfere with uric acid excretion and potentially worsen gout symptoms.
Choice C rationale:
"Ibuprofen" is an NSAID and may not be suitable for a client allergic to NSAIDs.
Choice D rationale:
"Naproxen" is also an NSAID and is not suitable for a client allergic to NSAIDs.
Questions
Correct Answer is A
Explanation
Choice A rationale:
"Advising the patient to limit alcohol consumption." This is the correct choice.
Alcohol consumption, particularly excessive consumption of beer and spirits, is associated with an increased risk of gout attacks.
Advising the patient to limit alcohol intake is an appropriate nursing action for gout prevention.
Choice B rationale:
"Encouraging a diet high in purine-rich foods." This choice is incorrect.
Encouraging a diet high in purine-rich foods is not appropriate for gout prevention.
High purine intake can lead to elevated uric acid levels, increasing the risk of gout attacks.
Choice C rationale:
"Recommending a sedentary lifestyle." This choice is incorrect.
Recommending a sedentary lifestyle is not appropriate for gout prevention.
Physical activity and maintaining a healthy weight are essential components of gout management and prevention.
Choice D rationale:
"Discouraging medication adherence for uric acid control." This choice is incorrect.
Discouraging medication adherence for uric acid control is counterproductive to gout prevention and management.
Medications prescribed to lower uric acid levels are a critical part of preventing gout attacks and complications.
Questions
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