Question 1

A client is prescribed a nonsteroidal anti-inflammatory drug (NSAID)for treatment of gout.Which nursing instruction should be provided?&#10;A)&#34;Your initial dose will be low during your acute attack,but we will raise it over the next few weeks.&#34;&#10;B)&#34;This drug will help with inflammation,but I will give you a second medication for pain.&#34;&#10;C)&#34;If you have stomach pain,please call me for a medication adjustment.&#34;&#10;D)&#34;You may find that you cannot sleep while taking this medication.&#34;

Accepted Answer

&#34;If you have stomach pain,please call me for a medication adjustment.&#34;

Question 2

A client states,&#34;I watched my dad suffer with gout.I hope I never develop it.&#34; How should the nurse respond?&#10;A)&#34;Genetics does play a part,but so do your environment and lifestyle.&#34;&#10;B)&#34;Too bad we can't pick our ancestors.&#34;&#10;C)&#34;There is an inexpensive and readily available test on the market that will help determine if you will get gout.&#34;&#10;D)&#34;Thankfully,gout is one of the diseases that don't seem to have a connection to heredity.&#34;

Accepted Answer

&#34;Genetics does play a part,but so do your environment and lifestyle.&#34;

Question 3

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?&#10;A)&#34;I take niacin to help control my cholesterol.&#34;&#10;B)&#34;The only medication that helps control my tremor is levodopa.&#34;&#10;C)&#34;I have taken tramadol for back pain for the last 6 months.&#34;&#10;D)&#34;I haven't had a cold since I started taking vitamin C every day.&#34;&#10;E)&#34;My cardiologist told me to take a low-dose aspirin every day,but I take two full-strength because my dad had heart trouble.&#34;

Accepted Answer

&#34;I take niacin to help control my cholesterol.&#34;&#10;&#34;The only medication that helps control my tremor is levodopa.&#34;&#10;&#34;I haven't had a cold since I started taking vitamin C every day.&#34;&#10;&#34;My cardiologist told me to take a low-dose aspirin every day,but I take two full-strength because my dad had heart trouble.&#34;

Question 4

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?&#10;A)The client reports drinking several cups of coffee each day.&#10;B)The client is a vegetarian.&#10;C)The client reports that his mother and his brother have gout.&#10;D)The client broke the same leg in a skiing accident last year.

Accepted Answer

The answer of A client reports to the clinic with...

Question 5

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?&#10;A)&#34;You may drink beer,but no hard liquor.&#34;&#10;B)&#34;Fresh green vegetables such as lettuces,asparagus,and green beans should be included in your diet several times a week.&#34;&#10;C)&#34;Avoid all milk products.&#34;&#10;D)&#34;Eat no more than 6 ounces of animal-based protein each day.&#34;&#10;E)&#34;Whole grains,fruits,and vegetables should comprise the majority of your diet.&#34;

Accepted Answer

The answer of A client has been diagnosed with high...

Question 6

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?&#10;A)&#34;Do you drink milk?&#34;&#10;B)&#34;Have you recently taken a trip overseas?&#34;&#10;C)&#34;Have you gone through menopause?&#34;&#10;D)&#34;Have you been treated for influenza in the last year?&#34;

Accepted Answer

The answer of A 50-year-old woman presents to the clinic...

Question 7

A client has been prescribed colchicine to reduce inflammation associated with gout.What medication education should the nurse provide to this client?&#10;A)&#34;Because this is an acute attack,your dose will be fairly high.&#34;&#10;B)&#34;Once your acute attack has subsided,you will be maintained on a lower dose.&#34;&#10;C)&#34;Most of the side effects of this medication are related to disturbances of the gastrointestinal tract.&#34;&#10;D)&#34;You may experience light-headedness when first taking this medication.&#34;&#10;E)&#34;You are at greater risk for bone fractures because you are taking this medication.&#34;

Accepted Answer

The answer of A client has been prescribed colchicine to...

Question 8

A clinic nurse remarks on the numbers of clients with gout in the practice.Based on research,the nurse manager would provide which information?&#10;A)&#34;Our numbers are aberrant because the national prevalence has not increased.&#34;&#10;B)&#34;The obesity epidemic in the United States has increased the population's risk.&#34;&#10;C)&#34;The population is getting older,so gout is a greater possibility.&#34;&#10;D)&#34;Overuse injuries of the wrist due to high levels of computer use have increased the risk for gout.&#34;&#10;E)&#34;So many of our clients are hypertensive,and that increases the risk for gout.&#34;

Accepted Answer

The answer of A clinic nurse remarks on the numbers...

Question 9

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?&#10;A)&#34;It does not make much difference,as long as you are increasing fluid to at least 64 ounces every day.&#34;&#10;B)&#34;Coffee is a good fluid to drink in the morning.&#34;&#10;C)&#34;The best fluid for you to drink is water.&#34;&#10;D)&#34;Whole milk is a good fluid to flush the kidney.&#34;

Accepted Answer

The answer of The nurse has directed a client to...

Question 10

Probenecid has been prescribed for a client who has gout.What information should the nurse provide to this client?&#10;A)&#34;If you develop a rash,please contact the clinic.&#34;&#10;B)&#34;This medication is an anti-inflammatory and pain reliever.&#34;&#10;C)&#34;You should have fewer and fewer attacks of gout while on this medication.&#34;&#10;D)&#34;You may develop kidney stones while taking this medication.&#34;&#10;E)&#34;You may experience stomach pain and/or vomiting while taking this medication.&#34;

Accepted Answer

The answer of Probenecid has been prescribed for a client...

Question 11

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)"People with high uric acid levels generally develop gout."
B)"Your uric acid level is very high,which puts you at high risk for gout."
C)"Because your father and brother had gout,you are at risk."
D)"I'm not certain,as your only strong family history is of kidney stones."

Unlock Deck

Unlock for access to all 15 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The answer of A client's serum uric acid level is...

Question 12

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?&#10;A)&#34;This diet sounds like a healthy one for anyone to follow.&#34;&#10;B)&#34;As long as I can have my diet cola,I can tolerate the rest of the diet.&#34;&#10;C)&#34;I don't like seafood or chicken much anyway,so cutting down on meat will be easy.&#34;&#10;D)&#34;I have considered becoming a vegetarian in the past.This might be a good time to try that option.&#34;

Accepted Answer

The answer of The nurse has described the recommended diet...

Question 13

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?

A)"Research studies have noted an association between some genes and a higher risk of gout."
B)"Your risk won't increase until you are over 6
C)"Only if you don't control other risk factors."
D)"It depends on environmental risk factors."

Unlock Deck

Unlock for access to all 15 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The answer of The nurse is creating a three-generation pedigree...

Question 14

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?

A)The client reports that the joint was "normal" yesterday.
B)The inflamed joint is red.
C)The client's BUN is elevated.
D)X-rays confirm the joint swelling is not symmetrical.
E)Redness and swelling are present in multiple joints.

Accepted Answer

The answer of A clinic does not have the capacity...

Question 15

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?&#10;A)&#34;I should take my blood pressure weekly while on this medication.&#34;&#10;B)&#34;I will monitor my skin for rashes.&#34;&#10;C)&#34;This drug may cause gastrointestinal bleeding,so I should watch for tarry stools.&#34;&#10;D)&#34;While I am taking this medication,my ability to heal will be reduced.&#34;

Accepted Answer

The answer of A client has been prescribed the xanthine...

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