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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 ["A","B","C"]

Explanation

A. The client is noted to have emesis which contributes to total fluid loss predisposing the client to acute kidney injury. Antiemetics are important to reduce emesis.
B. Clients with PCP are typically treated with antibiotics, such as trimethoprim-sulfamethoxazole (TMP-SMX), as first-line therapy. Monitoring for adverse reactions to antibiotics, such as hypersensitivity reactions or renal toxicity, is essential for safe medication administration.
Increasing fluid intake prevents and manages acute kidney injury in the client.
C. Increasing intravenous hydration ensures the lost fluid is replaced to prevent acute renal injury that may occur due to hypoperfusion.
D. Pneumocystis pneumonia is caused by the fungus Pneumocystis jirovecii (formerly known as Pneumocystis carinii), and its transmission occurs through the inhalation of airborne fungal spores. However, it is not typically spread from person to person like airborne viral or bacterial infections.
E. Repeating CD4 count is not necessary as it is unlikely to alter the management of the client at this point. This should be after 2-3 weeks.

A. Use a space heater to keep the workspace warm. B. Take a multivitamin that contains vitamin D daily. C. Keep both hands elevated during work breaks. D. Obtain a keyboard designed to limit wrist flexion.

Correct Answer is A

Explanation

A. Raynaud's syndrome is characterized by vasospasm of the small arteries, often triggered by exposure to cold temperatures or stress. Keeping the workspace warm can help prevent vasospasm and reduce the risk of Raynaud's attacks while the client is working. Using a space heater or adjusting the office temperature can help maintain a comfortable environment for the client.
B. While vitamin D supplementation may have various health benefits, it is not specifically indicated for managing Raynaud's syndrome.
C. Elevating the hands during work breaks may help reduce swelling or discomfort associated with certain conditions, but it is not a specific recommendation for managing Raynaud's syndrome. Elevating the hands may not address the underlying issue of reduced blood flow to the fingers that occurs during Raynaud's attacks.
D. Limiting wrist flexion may help reduce strain on the wrists and hands but would not directly address the symptoms of Raynaud's syndrome related to blood flow. While ergonomic keyboards can be beneficial for preventing repetitive strain injuries and improving comfort during typing, they are not specifically indicated for managing Raynaud's syndrome.

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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.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["A","B","C"]

Explanation

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

Correct Answer is A

Explanation

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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.

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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.