The nurse examines a client's right great toe. The joint is red, edematous, and very painful with limited range of motion. The client's serum uric acid levels are elevated. Which action should the nurse tell the client to make?
Measure urine output.
Increase intake of red meat.
Splint the affected joint.
Encourage fluid intake.
The Correct Answer is D
A. Measure urine output. While important for overall health, it is not directly related to managing the acute symptoms of gout.
B. Increase intake of red meat. This is contraindicated. Red meat is high in purines, which can exacerbate gout.
C. Splint the affected joint. Splinting is not typically necessary or helpful in managing gout symptoms.
D. Encourage fluid intake. This is the correct action. Increased fluid intake helps flush out uric acid and prevent kidney stones, which is beneficial in managing gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Instruct the client to attempt to urinate again. This may not be effective if the client has difficulty urinating due to underlying issues such as bladder retention or obstruction.
B. Evaluate the client for bladder distention. This is the correct action. Bladder distention can indicate urinary retention, a common issue in older adults, especially males with prostate problems.
C. Send the sample for laboratory evaluation. While necessary eventually, this action does not address the immediate concern of possible urinary retention.
D. Give the client 8 ounces (236.5 mL) of water to drink. This may help if the client is dehydrated, but it does not address the potential underlying cause of urinary retention.
Correct Answer is C
Explanation
A. Cool, pale skin below the knees. This suggests arterial insufficiency rather than venous insufficiency.
B. Deep, continuous pain in the calf muscles. This suggests deep vein thrombosis (DVT) rather than chronic venous insufficiency.
C. Decreased pain when legs are elevated. This is the best choice as elevation typically relieves symptoms of venous insufficiency by reducing venous pressure.
D. Painful symptoms alleviated by warmth. This is less specific to venous insufficiency and more indicative of muscle or joint issues.
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