Exhibits
The healthcare provider places prescriptions to determine the extent of the client's condition.
Select from Word Choices to complete the sentence.
Based on the client's laboratory findings, the nurse recognizes that the client is having an acute gout attack and is most at risk for ___and ___ in his affected joint.
Discoloration
inflammation
pain
sepsis
gangrene
Correct Answer : B,C
Inflammation occurs when uric acid crystals are deposited in the joints, causing the body to react with an inflammatory response.
Pain is a hallmark symptom of an acute gout attack due to the inflammation and the sharp uric acid crystals irritating the joint tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
The nurse should teach the client that gout attacks can be limited by keeping a diet that is low purine and a lifestyle free from alcohol.
Rationale:
- Low Purine Diet: Foods high in purines (like red meats, certain seafood, and organ meats) increase uric acid levels, which can trigger gout attacks. A low purine diet helps reduce uric acid levels and may prevent future flare-ups.
- Avoiding Alcohol: Alcohol, especially beer, can increase uric acid levels and is a known risk factor for gout attacks. By avoiding alcohol, the client reduces the likelihood of aggravating their condition.
Correct Answer is []
Explanation
Potential Condition
- Dilated Cardiomyopathy: This condition is most likely because the client presents with symptoms of heart failure (chest pain, dizziness, inspiratory crackles, systolic murmur, and ankle edema) alongside a history of hypertension, which can contribute to the development of dilated cardiomyopathy.
Actions to Take
1. Apply Oxygen: The client is showing signs of potential heart failure, and oxygen can help alleviate symptoms associated with decreased oxygenation.
2. Perform 12-lead EKG: An EKG will provide information about any potential cardiac abnormalities, especially in the presence of chest pain and systolic murmur.
Parameters to Monitor
1. Blood Pressure: It is essential to monitor blood pressure due to the client's hypertension and heart failure symptoms, which may be exacerbated by elevated blood pressure.
2. Urine Output: Monitoring urine output helps assess kidney perfusion and fluid status, which can be affected by heart failure and hypertension, particularly in cases of cardiomyopathy.
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