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?

Splint the affected joint.

Encourage fluid intake.

Increase Intake of red meat.

Measure urine output.

Answer and Explanation

The Correct Answer is B

Choice A Reason:
Splint the affected joint is inappropriate action. While splinting may help stabilize the joint and reduce movement, it may not directly address the underlying cause of the symptoms, which is9levated uric acid levels leading to gout. Additionally, splinting may further restrict range of motion and exacerbate discomfort.
Choice B Reason:
Encouraging fluid intake is appropriate action. Encouraging fluid intake, particularly water, is beneficial for individuals experiencing a gout flare-up. Adequate hydration helps to dilute uric acid in the bloodstream and promote its excretion through urine, which can help alleviate symptoms and prevent further flare-ups. Therefore, option B is the most appropriate action for the nurse to advise the client in this situation.
Choice C Reason:
Increasing intake of red meat is inappropriate action. Red meat is high in purines, which can contribute to elevated uric acid levels and increase the risk of gout flare-ups. Therefore, increasing intake of red meat would not be advisable for someone experiencing gout symptoms. In fact, dietary modifications often involve reducing intake of purine-rich foods like red meat to help manage gout.
Choice D Reason:
Measuring urine output is inappropriate action. While monitoring urine output is important for overall hydration status, it may not be the most immediate or relevant action in this situation. The priority in managing a gout flare-up is to address the underlying cause by promoting uric acid excretion through adequate hydration, rather than solely focusing on measuring urine output.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A Reason:
Hyperextension and palmar flexion are correct. Hyperextension involves moving the wrist joint backward, testing its ability to extend beyond its neutral position. Palmar flexion involves moving the wrist joint forward, testing its ability to flex toward the palm. These movements collectively assess the range of motion of the wrist joint in both directions, which is essential for identifying any limitations or pain associated with certain movements. Since the client presents with right wrist pain and ecchymosis, assessing both hyperextension and palmar flexion can help determine if there's any injury or impairment affecting the wrist's mobility.
Choice B Reason:
Plantar flexion is incorrect. Plantar flexion refers to a movement of the foot and ankle, not the wrist. Therefore, instructing the client to perform plantar flexion would not assess the wrist's mobility and is not relevant to the presented scenario of right wrist pain with ecchymosis.
Choice C Reason:
Forearm pronation is incorrect. Forearm pronation involves rotating the forearm so that the palm faces downward. This movement primarily assesses the pronation and supination of the forearm, not the wrist's mobility. Since the client's symptoms are specific to the wrist, assessing forearm pronation would not directly evaluate the wrist's range of motion.
Choice D Reason:
Forearm supination is incorrect. Forearm supination involves rotating the forearm so that the palm faces upward. Similar to forearm pronation, this movement primarily assesses the forearm's mobility, not the wrist's mobility. Therefore, instructing the client to perform forearm supination would not be an appropriate method for assessing the wrist's range of motion in the context of right wrist pain with ecchymosis.

A. “ever had problems with your blood sugar?" B. “been sleeping well? C. “ had anything to eat in the last 24 hours? D. “been depressed lately?

Correct Answer is B

Explanation

Choice A Reason:
Blood sugar levels can impact neurological function, leading to symptoms like slurred speech, but this is less likely to be the immediate cause of the expressionless affect and red conjunctivae. While important, this question may not address the most urgent concern first. client's symptoms.

Choice B Reason:
"Been sleeping well?" Poor sleep could contribute to slurred speech and an expressionless affect. Asking about sleep might help identify if sleep deprivation is contributing to the symptoms.
Choice C Reason:
Not eating could lead to hypoglycemia, which might cause slurred speech, but it is less likely to explain the red conjunctivae and expressionless affect. This question is important but might not address the immediate cause of the symptoms.
Choice D Reason:
Depression could lead to an expressionless facial affect, but it is less likely to explain slurred speech and red conjunctivae. This question addresses one possible cause but doesn't cover the immediate physical symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is seen in the emergent care clinic for right wrist pain with a pattern of ecchymosis observed on the wrist. Which motion should the nurse instruct the client to perform to assess the wrist mobility?

Correct Answer is A

Explanation

The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae. Which question should the nurse ask first? "Have you..."

Correct Answer is B

Explanation

During the admission assessment, a male client admitted with chest pain states he has no breathing problems and no trouble sleeping at night. To obtain further data regarding possible orthopnea, which action should the nurse take?

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?

While interviewing a newly admitted older female client, the nurse observes that the client ignores questions asked by the nurse, and speaks loudly to her son who brought her to the hospital. Which action should the nurse implement first?

While auscultating a client's abdomen, the nurse hears a low-pitched blowing sound in the upper midline area. Which is the likely indication of this finding?

During assessment of a client's abdomen, the nurse observes that the client's umbilicus is depressed and below the surface of the abdomen. What action should the nurse take in response to this observation?

During an admission assessment, which approach should the nurse use to assess a client's speech patterns?

The nurse notes an enlarged, visible lymph node on the client's neck. Which action should the nurse take next?