The nurse is caring for a client who was diagnosed with "gouty arthritis." Which laboratory test is most important to perform to confirm this diagnosis?
arterial blood gases
uric acid levels
culture and sensitivity
potassium levels
The Correct Answer is B
A. Arterial blood gases are used to assess oxygenation and acid-base balance and are not specific to diagnosing gouty arthritis.
B. Gouty arthritis is characterized by elevated uric acid levels in the blood, leading to the deposition of urate crystals in the joints.
C. Culture and sensitivity tests are used to identify infectious organisms and determine their susceptibility to antibiotics, not for diagnosing gouty arthritis.
D. Potassium levels are not specific to diagnosing gouty arthritis and are typically measured as part of routine laboratory tests to assess electrolyte balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While standard precautions should be followed, the use of sterile gloves for routine care related to pertussis is not necessary.
B. Placing a surgical mask on the client during transportation may help prevent the spread of respiratory droplets but is not a comprehensive infection control measure.
C. Wearing a gown for all client cares is unnecessary and may not be practical.
D. Wearing a mask when providing care within 10 feet of the client helps reduce the risk of droplet transmission of pertussis.
Correct Answer is D
Explanation
A. While gall bladder surgery carries a risk of infection, having osteoarthritis does not significantly increase the risk compared to other factors listed.
B. Plastic surgery and being overweight may increase the risk of surgical site infections, but age and comorbidities are more significant factors.
C. A fractured wrist may increase the risk of infection at the fracture site, but it is not as significant a risk factor as advanced age and comorbidities.
D. Advanced age, rheumatoid arthritis, foot surgery, and Foley catheter insertion are all factors that increase the risk of infection, making this client the most vulnerable.
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