Patient Data
The healthcare provider places orders to determine the extent of the client condition. Drag 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
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Inflammation and discoloration are key symptoms of an acute gout attack.
- Inflammation: This occurs when urate crystals in the joints trigger an immune response, causing swelling, redness, warmth, and significant pain.
- Discoloration: Typically presents as redness over the affected joint, due to increased blood flow and inflammation, highlighting the body's response to the crystal deposits.
These symptoms help healthcare providers identify and treat gout, focusing on reducing inflammation and managing uric acid levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"B"}}
Explanation
In an asthmatic attack, exposure to triggers leads to bronchospasm which blocks airflow leading to impaired ventilation that manifests as respiratory distress- tachypnea. This prevents oxygenation with resultant hypoxia as evidenced by low SPO2 levels. Continuous use of a non- selective beta agonists leads to elevated heart rate.
Acute asthmatic attacks are not associated with changes in blood pressure
Acute asthmatic attacks are not associated with changes in temperature. However, when triggered by pulmonary infections, the client may experience episodes of fever.
Correct Answer is C
Explanation
C. Risk for aspiration related to vomiting.Nausea and vomiting increase the risk of aspiration because the vomitus can enter the airway if the client is unable to protect their airway effectively. Therefore, it is critical for the nurse to prioritize interventions aimed at reducing the risk of aspiration, such as maintaining the client in a side-lying position and providing suctioning equipment as needed.
A. While renal function impairment is a potential complication of kidney stones, it is not the most immediate concern in this scenario. The client's severe right flank pain, nausea, and vomiting indicate an acute episode of renal colic, where the kidney stone obstructs the urinary tract, causing intense pain and urinary stasis. While impaired renal function is a concern, it is secondary to the immediate risk of aspiration.
B. Acute pain related to the renal calculus is a significant concern for the client and requires prompt intervention to alleviate discomfort. However, in this scenario, the risk of aspiration from vomiting takes precedence over pain management because aspiration poses an immediate threat to the client's respiratory status.
D. While nutritional deficit related to nausea is a valid concern, it is not the highest priority nursing problem in this scenario. The client's nausea and vomiting are acute symptoms requiring immediate attention to prevent complications such as aspiration. Once the risk of aspiration is addressed, nutritional support and interventions to manage nausea can be implemented.
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