A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect? (Select all that apply.)
Tight skin
Edema
Tophi
Symmetrical joint pain
Erythema
Correct Answer : B,C,E
A nurse collecting data from a client who has an exacerbation of gout should expect to find edema, tophi, and erythema. Gout is a type of arthritis that occurs when urate crystals accumulate in the joints, causing inflammation and intense pain. Edema (swelling) is a common symptom of gout⁴. Tophi are deposits of urate crystals that can form under the skin in people with chronic gout³. Erythema (redness) is another common symptom of gout⁴.
a. Tight skin is not a common symptom of gout.
d. Symmetrical joint pain is not a common symptom of gout, as it usually affects only one joint at a time.
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Related Questions
Correct Answer is C
Explanation
The nurse should anticipate that the provider will initially prescribe acetaminophen to the client who has a new diagnosis of osteoarthritis. Acetaminophen (Tylenol, others) has been shown to help some people with osteoarthritis who have mild to moderate pain. It is often used as a first-line treatment for osteoarthritis pain.
Hyaluronic acid is not typically the first medication prescribed for osteoarthritis.
Ibuprofen may be prescribed for osteoarthritis but is not typically the first medication prescribed.
Celecoxib may be prescribed for osteoarthritis but is not typically the first medication prescribed.
Correct Answer is D
Explanation
The nurse should expect to find edema of the toes first if the cast is too tight. A cast that is too tight can impede blood flow and cause swelling (edema) of the toes. If the nurse notices edema of the toes, they should report this finding to the provider and take appropriate action to prevent further complications.
Toes cool to touch may occur if the cast is too tight but this is not typically the first finding.
The inability to move toes may occur if the cast is too tight but this is not typically the first finding.
The pallor of the toes may occur if the cast is too tight but this is not typically the first finding.
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