The healthcare provider places prescriptions to determine the extent of the client's condition.

Exhibits

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
dropdown
and
dropdown
in his affected joint.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"F"}

Rationale for Correct Choices:

Pain: The client reports severe, persistent pain rated 8/10 in the right great toe that has lasted 9 days. Acute gout attacks cause intense joint pain due to urate crystal deposition, making pain the most immediate and significant risk requiring nursing intervention.
Inflammation: Assessment findings show redness, warmth, and swelling at the affected joint. These signs indicate active inflammation caused by urate crystal deposition, which can worsen tissue damage and joint function if not managed promptly.

Rationale for Incorrect Choices:

Contracture: While chronic gout or repeated attacks can eventually lead to joint deformities or contractures, this is a long-term complication, not an immediate risk during an acute attack.
Decreased circulation: There is no evidence of impaired blood flow to the affected joint; capillary refill and skin perfusion are not compromised.
Discoloration: Although redness is present, discoloration as a separate risk is not the primary concern; it is part of the inflammatory response rather than a distinct complication.
Enlarged tophi: Tophi form over time with chronic hyperuricemia; the client currently presents with small hard deposits, indicating early tophi formation, but enlargement is not an immediate risk during the acute attack.

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Correct Answer is B

Explanation

Rationale:
A. Urine is pale pink with no observable blood clots: Light hematuria may occur after lithotripsy, but absence of clots alone does not confirm that the stones were effectively fragmented or removed.

B. Stone fragments are collected when straining the client's urine: The presence of stone fragments indicates that the lithotripsy successfully broke up the calculi, allowing them to pass or be collected. This directly demonstrates procedural effectiveness.

C. Client denies urinary frequency, urgency, or dysuria: Relief of urinary symptoms may occur gradually and does not immediately confirm that the stones were effectively fragmented or removed.

D. Serum creatinine and blood urea nitrogen (BUN) levels are within normal limits: Normal renal function is important, but it does not specifically indicate that the lithotripsy procedure successfully fragmented the stones.

A. Daily caloric intake. B. Heart rate and body weight. C. Report of bowel functioning since surgery. D. Number of any missed doses of medication.

Correct Answer is B

Explanation

Rationale:
A. Daily caloric intake: While nutrition affects overall recovery, it is not the most immediate indicator of thyroid hormone replacement effectiveness. Caloric intake provides background information but does not directly reflect therapeutic response.

B. Heart rate and body weight: These are key indicators of thyroid hormone levels and therapeutic effectiveness. Tachycardia, weight loss, or weight gain may signal over- or under-replacement, making this assessment critical for adjusting medication and preventing complications.

C. Report of bowel functioning since surgery: Bowel habits may be influenced by thyroid function, but they are less specific and less immediately critical than vital signs and weight changes in evaluating hormone replacement therapy.

D. Number of any missed doses of medication: Adherence is important, but even with occasional missed doses, the most immediate and objective way to assess therapy effectiveness is through heart rate and body weight monitoring.

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The healthcare provider places prescriptions to determine the extent of the client's condition. Exhibits 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 dropdown and dropdown in his affected joint.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing a client following lithotripsy with stent insertion, which data indicates to the nurse that the procedure was successful?

Correct Answer is B

Explanation

A client receiving thyroid replacement therapy following a thyroidectomy is seen in the clinic for a 6 weeks postoperative check up. Which assessment is most important for the nurse to obtain?

Correct Answer is B

Explanation

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The healthcare provider places prescriptions to determine the extent of the client's condition. Exhibits 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 dropdown and dropdown in his affected joint.

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The nurse reviews the prescriptions and plans initial steps for caring for the client. Exhibits Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

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A client with chronic venous insufficiency is being discharged from the hospital, and plans to return home. Which client statement indicates an understanding of home care instructions?

The nurse is preparing a teaching plan for a client taking a prescribed diuretic for edema in the lower extremities. Which instruction should the nurse include in this teaching plan?

The healthcare provider places prescriptions to determine the extent of the client's condition.

Exhibits

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
dropdown
and
dropdown
in his affected joint.