Exam 17: Impact of Environment on Health: Interaction With Genes

A client's serum uric acid level is 7.4 mg/dL.Although the client is asymptomatic,the provider prescribes pharmacologic treatment.The client says,"I don't understand why I have to take medicine if I don't have symptoms." Which nursing response is indicated?

A client has been prescribed the xanthine oxidase inhibitor allopurinol for treatment of gout.Which statement by the client indicates that nursing education about this drug has been successful?

A clinic nurse remarks on the numbers of clients with gout in the practice.Based on research,the nurse manager would provide which information?

A 50-year-old woman presents to the clinic with redness and pain in one knee that occurred suddenly with no history of trauma.Which nursing assessment question is indicated?

A nurse is conducting a medication review with a client recently diagnosed with gout.Which statement by the client about medication use would the nurse interpret as possibly related to this diagnosis?

A client reports to the clinic with complaints of a painful and red right great toe.What information would help identify gout as the causative factor?

A client has been prescribed colchicine to reduce inflammation associated with gout.What medication education should the nurse provide to this client?

Probenecid has been prescribed for a client who has gout.What information should the nurse provide to this client?

A client states,"I watched my dad suffer with gout.I hope I never develop it." How should the nurse respond?

The nurse has directed a client to increase fluid intake as part of treatment for gout.The client asks what kind of fluids would be best.How should the nurse answer?

The nurse has described the recommended diet for a client who is at high risk for gout.Which statement by the client would indicate a need for further education?

A client has been diagnosed with high uric acid levels but has not yet developed gout.The nurse is educating the client about dietary modifications.Which instructions should be included?

A client is prescribed a nonsteroidal anti-inflammatory drug (NSAID)for treatment of gout.Which nursing instruction should be provided?

A clinic does not have the capacity to get quick results of joint fluid testing for urate crystals.To support the diagnosis of gout,the nurse would review a client's case for which assessment findings?

The nurse is creating a three-generation pedigree for a 30-year-old female client.The client states,"I've been told that several of my ancestors had gout.Does that mean I'll get it too?" How should the nurse respond?