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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A urinary tract infection in a sedentary client does not inherently suggest a hospital-acquired infection.
B. A vaginal canal infection in a postmenopausal woman does not inherently suggest a hospital-acquired infection.
C. A respiratory infection contracted from a visitor does not inherently suggest a hospital-acquired infection.
D. A wound infection caused by unwashed hands of a caregiver suggests a hospital- acquired infection due to the potential for contamination within the healthcare setting.

A. Place the client on Contact Precautions. B. Apply cold compress on her left upper arm. C. Elevate the client's arm on a pillow. D. Take a wound culture every shift to determine if the infection is improving. E. Have RN initiate IV access for the client to receive fluids and antibiotic therapy. F. Administer subcutaneous sodium heparin every 12 hours.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

A. Placing the client on Contact Precautions is appropriate to prevent the transmission of MRSA to other patients and healthcare workers.
B. Applying a cold compress may worsen tissue damage and compromise blood flow, which can exacerbate the wound infection and cellulitis.
C. Elevating the client's arm can help reduce swelling and improve circulation, aiding in the resolution of cellulitis.
D. Taking a wound culture every shift is not necessary or useful, as it can be painful for the client and does not provide timely information on the infection status. A wound culture is usually done once before starting antibiotic therapy and then repeated only if there is no improvement or signs of worsening.
E. Initiating IV access for fluid and antibiotic therapy is necessary for treating the systemic infection caused by MRSA and cellulitis.
F. Subcutaneous sodium heparin is an anticoagulant that prevents blood clots, but it is not indicated for this client unless they have a history or risk of thromboembolic events, such as deep vein thrombosis or pulmonary embolism.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assigned to the following four clients with infections. The nurse realizes that which client has acquired a hospital-acquired infection?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

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