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Patient Data

Exhibits

Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

Drinks beer nightly

Hypertension

Sleep apnea

Ibuprofen for pain

Daily aspirin

Type 2 diabetes mellitus

Osteoarthritis

Obesity

Smoking

Answer and Explanation

Correct Answer : A,B,F,G,H

A. Beer consumption, particularly in excess, has been associated with an increased risk of gout due to its high purine content, which can lead to elevated uric acid levels in the body. Uric acid is a key factor in the development of gout, as it can crystallize and deposit in the joints, causing inflammation and pain.
B.   Hypertension is a risk factor for gout, as it is often associated with other metabolic abnormalities, such as insulin resistance and obesity, which can contribute to elevated uric acid levels. Additionally, certain antihypertensive medications, such as diuretics, can increase the risk of gout by raising uric acid levels in the blood.
F. Type 2 diabetes mellitus is a metabolic disorder characterized by insulin resistance and high blood sugar levels. Insulin resistance is associated with increased uric acid production and reduced renal excretion of uric acid, both of which can contribute to the development of gout.
G. Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage in the joints. Studies have shown that individuals with osteoarthritis are at an increased risk of developing gout, possibly due to shared risk factors such as obesity and metabolic syndrome, as well as joint damage and inflammation.
H. Obesity is a significant risk factor for gout, as excess body weight is associated with increased uric acid production and decreased renal excretion of uric acid. Adipose tissue (fat cells) can also produce substances that promote inflammation and contribute to insulin resistance, further increasing the risk of gout in obese individuals.
Incorrect;
C.   While sleep apnea has been associated with various metabolic and cardiovascular disorders, its direct association with gout risk is less clear. However, sleep apnea may indirectly contribute to gout risk through its association with obesity and metabolic syndrome.
D.   While NSAIDs like ibuprofen can be used to manage acute gout attacks, their use alone is not considered a risk factor for developing gout.
E.   Daily aspirin use is not typically associated with an increased risk of gout. In fact, low-dose aspirin is often recommended for individuals at risk of cardiovascular events, including those with gout, to reduce the risk of blood clots and heart attacks.
I. Smoking is not directly associated with an increased risk of gout. However, smoking is a known risk factor for various cardiovascular and respiratory conditions, as well as certain cancers.

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Correct Answer is B

Explanation

B. Combining opioid and non-opioid medications can provide more effective pain relief through synergistic effects and may allow for lower opioid dosages, reducing the risk of opioid-related side effects and improving pain control. Non-opioid medications such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can complement the analgesic effects of opioids and provide additional pain relief.
A. While educating the client on signs and symptoms of narcotic dependency is important for long-term opioid use, it is not the most immediate intervention for managing severe pain in a client with stage IV bone cancer.
C. Pain management should aim to prevent pain from reaching severe levels, as it can be more difficult to control once it becomes severe.
D. Alternating between IV and IM analgesic medications may be considered in some situations to provide continuous pain relief while minimizing side effects. However, it is not typically the first-line approach for managing severe pain in a hospitalized client with stage IV bone cancer.

A. Impaired renal function related to pain. B. Acute pain related to renal calculus. C. Risk for aspiration related to vomiting. D. Nutritional deficit related to nausea.

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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Patient Data Exhibits Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse implement?

Correct Answer is B

Explanation

A client with a renal calculus reports severe right flank pain, nausea, and vomiting. Which nursing problem has the highest priority?

Correct Answer is C

Explanation

Exhibits What order(s) should the nurse anticipate being prescribed after an update is reported to the healthcare providers? Select all that apply.

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While caring for a client with a full thickness burn covering 40% of the body, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?

A client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling experienced worsens at night. Which client teaching should the nurse provide?

The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?

Patient Data

Exhibits

Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.