A mother with a diagnosis of AIDS states that she has been caring for her baby even though she has not been feeling well.
What important information should the nurse determine?

Cardiovascular disease (CVD) is a significant risk factor for gout. This is because CVD often coexists with other conditions that can elevate uric acid levels, such as hypertension, obesity, and chronic kidney disease. Additionally, some medications used to treat CVD, such as thiazide diuretics, can also increase uric acid levels.

Research has shown that people with CVD have a 2-3 times higher risk of developing gout compared to those without CVD.

The mechanisms linking CVD and gout are complex and not fully understood, but they likely involve shared pathways of inflammation and endothelial dysfunction.

Choice D rationale:

Diuretic use, particularly thiazide diuretics, is a well-established risk factor for gout. These medications work by increasing the excretion of fluids and electrolytes from the body, which can also lead to a decrease in the excretion of uric acid.

This can result in a buildup of uric acid in the blood, which can then crystallize in joints and cause gout attacks.

The risk of gout associated with diuretic use is dose-dependent, meaning that higher doses of diuretics are associated with a higher risk of gout.

Choice A rationale:

Depression has not been consistently shown to be an independent risk factor for gout.
Some studies have suggested a possible link between depression and gout, but others have not found any association. More research is needed to clarify the relationship between these two conditions.

Choice B rationale:

Deep sleep deprivation has not been studied as a risk factor for gout.
There is currently no evidence to suggest that it is directly associated with an increased risk of developing the disease.

Step 1 is to calculate the number of milliliters (mL) that contain the ordered dose of 300 mg of clindamycin.

Step 2 is to divide the total milliliters (mL) from Step 1 by the infusion time in minutes to get the flow rate in mL/hour. Here are the calculations:

Step 1:

900 mg of clindamycin is in 50 mL.

To find the mL that contain 300 mg, set up a proportion:

(300 mg / 900 mg) = (x mL / 50 mL) Cross-multiply and solve for x:

x = (300 mg * 50 mL) / 900 mg x = 16.67 mL

Step 2:

The infusion time is 30 minutes.

Divide the total mL (16.67 mL) by the infusion time in hours to get the flow rate in mL/hour: Flow rate = 16.67 mL / (30 minutes / 60 minutes/hour)

Flow rate = 33.33 mL/hour

Round to the nearest whole number, using a leading zero if it applies, and no trailing zero: Flow rate = 033 mL/hour