(Select all that apply):
A nurse is assessing a patient with gout.
Which clinical findings may be indicative of gout? Select all that apply:
Swelling and redness in the affected joint.
Elevated levels of cholesterol in the blood.
Severe abdominal pain and diarrhea.
History of heart disease.
Increased urinary frequency and urgency.
Correct Answer : A,E
Swelling and redness in the affected joint.
E. Increased urinary frequency and urgency.
Choice B rationale:
"Elevated levels of cholesterol in the blood." Elevated cholesterol levels are not indicative of gout.
Gout is primarily related to uric acid metabolism, and its clinical presentation includes joint symptoms like swelling and redness.
Choice C rationale:
"Severe abdominal pain and diarrhea." Severe abdominal pain and diarrhea are not typical signs of gout.
These symptoms are more suggestive of gastrointestinal issues rather than gout.
Choice D rationale:
"History of heart disease." While gout and heart disease can coexist, a history of heart disease is not a direct clinical finding indicative of gout.
Gout primarily affects the joints and is characterized by symptoms such as joint pain and swelling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Encourage the patient to consume a diet high in purines." Encouraging a high-purine diet is not appropriate for a patient with gout.
High-purine foods can lead to increased uric acid levels, exacerbating gout symptoms.
The goal is to reduce purine intake.
Choice B rationale:
"Administer diuretics to help eliminate excess uric acid." While diuretics can increase uric acid levels in some cases, they are not typically administered as a primary treatment for gout.
In fact, certain diuretics can exacerbate gout symptoms by raising uric acid levels.
They are usually avoided or used cautiously in gout management.
Choice D rationale:
"Instruct the patient to avoid hydration to prevent uric acid buildup." Instructing the patient to avoid hydration is not appropriate and can be harmful.
Proper hydration is essential for gout management because it helps flush excess uric acid from the body.
Dehydration can lead to increased uric acid concentration in the blood and may worsen gout symptoms.
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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