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.
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Related Questions
Correct Answer is C
Explanation
A. Benign tumors generally grow slower than cancerous cells, so this statement is inaccurate.
B. Benign tumors are not cancerous; they do not invade nearby tissues or spread to other parts of the body.
C. Benign tumors are non-cancerous growths that do not invade nearby tissues or spread to other parts of the body. Therefore, they typically do not impair the function of the organ where they are located.
D. Unlike malignant tumors, benign tumors do not spread to other organs or lymph nodes.
Correct Answer is ["B","D","E","F","H","J"]
Explanation
A. While encouraging fluid intake is generally beneficial, this action alone may not adequately address the client's respiratory distress.
B. Obtaining the client's vital signs and noting changes from previous readings is essential for assessing the client's condition and response to interventions.
C. Administering antitussive medication may not be appropriate as the client is able to expectorate secretions, and suppressing the cough may hinder clearance of secretions.
D. Positioning the client in a high-Fowler position helps improve lung expansion, aiding in respiratory effort.
E. Increasing the supplemental oxygen flow can help alleviate respiratory distress by improving oxygenation.
F. Calling the respiratory therapist for a nebulizer treatment is appropriate, especially since the client reported previous relief with this intervention.
G. Increasing IV fluids may not directly address the client's respiratory distress and should be based on fluid status and other clinical indications.
H. Documenting findings and actions taken ensures proper communication and continuity of care.
I. Contacting the Rapid Response Team may not be necessary as the client is alert and oriented and not in immediate distress.
J. Listening to the client's breath sounds allows the nurse to compare with previous findings and evaluate respiratory status.
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