A nurse in an outpatient clinic.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Potential Condition: Gout
Actions to take:
Instruct the client to avoid foods high in purines
Instruct the client to apply heat and cold
Parameters to monitor
Uric Acid levels
ESR
Rationale:
Gout: Elevated uric acid level (7.2 mg/dL) suggests hyperuricemia, a key indicator of gout. Localized joint pain and crepitus in the right knee and left wrist are common gout symptoms. Family history of gout increases the client's risk. Negative ANA test and normal ESR make autoimmune conditions (RA, SLE) less likely.
Actions to Take:
Instruct the client to avoid foods high in purines: High-purine foods (e.g., red meat, seafood, alcohol) increase uric acid production, worsening gout attacks.
Instruct the client to apply heat and cold: Cold helps reduce inflammation and pain during acute flare-ups, while heat can ease stiffness between episodes.
Parameters to Monitor:
Uric acid levels: Monitoring serum uric acid helps assess treatment effectiveness and risk for future attacks.
ESR (Erythrocyte Sedimentation Rate): Elevated ESR can indicate ongoing inflammation. Tracking it helps evaluate disease activity and response to interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["255"]
Explanation
Calculate half the total volume: 4080 mL / 2 = 2040 mL.
Calculate the hourly rate for the first 8 hours: 2040 mL / 8 hr = 255 mL/hr.
Therefore, the nurse should set the IV infusion pump to deliver 255 mL/hr.
Correct Answer is A
Explanation
A. Providing humidified air can help relieve the dryness associated with xerostomia (dry mouth).
B. Instructing on esophageal speech is unrelated to managing xerostomia.
C. Offering saltine crackers between meals may worsen dry mouth by stimulating further saliva reduction.
D. Alcohol-based mouthwashes can further dry out the oral mucosa and should be avoided.
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