(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 D
Explanation
"Excessive alcohol consumption is unrelated to gout development." This statement is not entirely accurate.
Excessive alcohol consumption, especially of beer and spirits, has been associated with an increased risk of gout.
Alcohol can raise uric acid levels and contribute to gout development, although it is not the sole cause.
Choice B rationale:
"Low-purine diets are a significant risk factor for gout." This statement is incorrect.
Low-purine diets are actually recommended for individuals with gout because foods high in purines can lead to higher uric acid levels, which can trigger gout attacks.
Low-purine diets help reduce the risk of gout flares.
Choice C rationale:
"Obesity and hypertension have no association with gout." This statement is inaccurate.
Obesity and hypertension are indeed risk factors associated with gout.
Obesity can lead to increased uric acid production, and hypertension is associated with higher uric acid levels as well.
Correct Answer is C
Explanation
Choice A rationale:
"To relieve acute pain during gout attacks" is not the primary purpose of allopurinol.
Allopurinol is used to lower uric acid levels over the long term and prevent future gout attacks, but it does not provide immediate pain relief during acute attacks.
Choice B rationale:
"To reduce inflammation and swelling in the joints" is not the primary purpose of allopurinol.
Allopurinol primarily works by inhibiting the production of uric acid, not by directly reducing inflammation.
Choice C rationale:
"To lower uric acid levels in the body" is the correct choice.
Allopurinol is a xanthine oxidase inhibitor that reduces the production of uric acid in the body, helping to maintain uric acid levels within a normal range and prevent gout attacks.
Choice D rationale:
"To improve joint mobility and range of motion" is not the primary purpose of allopurinol.
While effective management of gout can lead to improved joint function over time, allopurinol primarily addresses the underlying cause by lowering uric acid levels.
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