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

Answer and Explanation

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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Correct Answer is B

Explanation

A bounding distal pulse indicates impaired venous return in the aﬀected arm. A bounding pulse is a strong and forceful pulse that can be a sign of increased blood flow to the area. In this case, it may indicate that blood is not returning from the aﬀected arm as it should.

a. Auscultation of lungs revealing wheezing is not related to venous return in the aﬀected arm. Wheezing is a high-pitched whistling sound made while breathing and is usually a sign of a respiratory problem.

c. Fever is also not related to venous return in the aﬀected arm. Fever is an increase in body temperature and is usually a sign of an infection or inﬂammation.

d. Pain unrelieved by opioid analgesics is not an indication of impaired venous return in the aﬀected arm. Pain can have many causes and may not be relieved by opioid analgesics for various reasons.

A. Optimal nutrition and hydration B. Surgical debridement of necrotic tissue C. Antibiotic therapy D. Antipyretic therapy

Correct Answer is C

Explanation

The priority intervention for the nurse to implement for a newly admitted client who has acute osteomyelitis is antibiotic therapy. Osteomyelitis is an inﬂammatory condition of bone secondary to an infectious process. Antibiotics are the primary treatment option and should be tailored based on culture results and individual patient factors.

Optimal nutrition and hydration are important but not the priority intervention.

Surgical debridement of necrotic tissue may be necessary but is not the priority intervention.

Antipyretic therapy may be necessary but is not the priority intervention.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a short arm cast for a fractured wrist. Which of the following findings indicates impaired venous return in the aﬀected arm?

Correct Answer is B

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A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

Correct Answer is C

Explanation

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