You are a RN working in a busy Emergency Department (ED) caring for a patient with a stage 3 pressure injury of the right hip that is warm, and has purulent drainage. The ED physician orders an intermittent IV piggyback of the antibiotic Gentamycin to be started. What should you do prior to starting the infusion? Select the BEST answer.

A. Gouty arthritis, or gout, is characterized by the accumulation of uric acid crystals in the joints, leading to sudden and severe pain, especially in the big toe (podagra). The presence of tophi (deposits of uric acid crystals under the skin) on the left toe is a classic sign of chronic gout. The patient's high BMI and frequent beer consumption also increase the risk for elevated uric acid levels, contributing to gout.
B. Rheumatoid arthritis is an autoimmune condition that typically causes symmetric joint pain and stiffness, often involving the small joints of the hands and feet. It is less likely to present with tophi and is usually not linked to a history of beer consumption or a specific joint (like the big toe) in isolation.
C. Systemic lupus erythematosus (SLE) can cause joint pain, but it usually involves multiple joints in a symmetrical pattern and is associated with a range of other systemic symptoms. The presence of tophi and the specific pain in the big toe point more toward gout.
D. Osteoarthritis is a degenerative joint disease that commonly affects weight-bearing joints and can cause pain, especially with movement. However, it does not typically cause the acute attacks or the presence of tophi that are characteristic of gout.

A. Chronic blood loss is one of the most common causes of iron deficiency anemia. Conditions such as gastrointestinal bleeding (e.g., from ulcers, polyps, or cancer), heavy menstrual periods, or chronic blood donation can lead to a gradual loss of iron, resulting in anemia.
B. While liver problems can lead to various blood disorders, they are not a direct cause of iron deficiency anemia. Liver disease can affect iron metabolism and storage but does not typically cause iron deficiency unless accompanied by chronic blood loss or malnutrition.
C. Decreased folic acid absorption leads to folate deficiency anemia, not iron deficiency anemia. While folate is important for red blood cell production, it does not directly influence iron levels. This option is not a common cause of iron deficiency anemia.
D. Low dietary intake of iron is a well-known cause of iron deficiency anemia. Diets lacking in iron-rich foods (such as red meat, beans, and fortified cereals) can lead to insufficient iron stores and subsequent anemia.