A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

High purine diet

Well-hydrated

Diuretic use

Starvation dieting

Normal BMI

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: A high purine diet is a risk factor for gout because purines are metabolized into uric acid, which can accumulate and form crystals in the joints.

Choice B reason: Being well-hydrated is not a risk factor for gout; in fact, adequate hydration helps prevent gout attacks by diluting and promoting the excretion of uric acid.

Choice C reason: Diuretic use can increase the risk of gout by reducing the kidneys' ability to excrete uric acid, leading to higher levels in the blood.

Choice D reason: Starvation dieting can lead to an increase in uric acid production, raising the risk of gout attacks.

Choice E reason: Having a normal BMI is not a risk factor for gout. Obesity is a known risk factor, while maintaining a healthy weight can reduce the risk of developing gout.

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Correct Answer is C

Explanation

Choice A reason: Administering an extra dose of albuterol before bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.

Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.

Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.

Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.

A. The client is able to repeat three whispered words without difficulty. B. The client is able to tack the unlock on the left ear versus the right ear when placed on top of the head. C. The client will display minimal swaying when standing with feet together and eyes closed. D. The client will hear the tuning fork for a longer period when placed next to the ear than when placed behind the ear on the mastoid process.

Correct Answer is D

Explanation

Choice A reason: The ability to repeat three whispered words without difficulty is an assessment of auditory acuity, not a specific finding of the Rinne test. The Rinne test evaluates bone and air conduction of sound.

Choice B reason: Placing the tuning fork on top of the head is part of the Weber test, which assesses lateralization of sound. It is not part of the Rinne test.

Choice C reason: Minimal swaying when standing with feet together and eyes closed is an assessment of balance, known as the Romberg test. It is not related to the Rinne test.

Choice D reason: The Rinne test compares air conduction (next to the ear) with bone conduction (on the mastoid process). Normally, air conduction is heard longer than bone conduction, indicating normal hearing or sensorineural hearing loss. This is the correct expected finding for the Rinne test.

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A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

Correct Answer is C

Explanation

The nursing student is asked by the preceptor what are the expected findings of the Rinne test. What statement by the nursing student is correct?

Correct Answer is D

Explanation

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