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 []
The client reports joint pain in the knee and wrist with a history of gout in the family. The elevated uric acid level (7.2 mg/dL) supports a diagnosis of gout, a condition caused by uric acid crystal deposition in the joints. The negative ANA and normal ESR make inflammatory autoimmune conditions like rheumatoid arthritis and systemic lupus erythematosus unlikely.
Actions to Take:
Instruct the client to avoid foods high in purines.
Purine-rich foods (e.g., red meat, shellfish, organ meats) contribute to increased uric acid production, exacerbating gout symptoms. Dietary modifications can help reduce flare-ups and long-term complications.
Instruct the client to apply topical analgesics.
Topical analgesics can provide localized pain relief and reduce discomfort in affected joints. They serve as an adjunct to systemic medications in managing acute symptoms.
Parameters to Monitor:
Uric acid levels.
Monitoring uric acid levels helps assess the effectiveness of dietary changes and medications in preventing flare-ups and reducing joint damage.
Joint deformities.
Chronic gout can lead to joint destruction and tophi formation, so assessing for deformities helps track disease progression and the need for further interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "What makes you believe that the science behind immunization is wrong?": This question may come across as confrontational and judgmental, which can potentially shut down communication. It could make the client feel defensive and less likely to engage in an open discussion about their concerns. The nurse should aim to create a non-judgmental and open dialogue to understand the client's perspective.
B) "Is not taking the immunization worth the risk of getting very sick during flu season?": This question is somewhat leading and may sound as if the nurse is trying to pressure the client into changing their mind. It could also create a sense of guilt or fear rather than fostering a cooperative conversation about the client's beliefs and concerns.
C) "Why are you opposed to receiving immunization?": While this question may seem straightforward, it is a bit too direct and could feel accusatory to the client. It might be better to approach the conversation in a way that invites the client to express their concerns without feeling challenged or defensive.
D) "What is your biggest concern with receiving immunization?": This is the most effective and open-ended question. It allows the client to express their concerns in a non-confrontational way. The nurse can then listen to the client's reasons, provide information, and address any misconceptions or fears the client may have, fostering a respectful and informative discussion.
Correct Answer is C
Explanation
A) "You owe it to your mother to take care of her now that she needs you.":
This response is not supportive and places unnecessary guilt on the son. Caregiving for a loved one with Alzheimer's disease is demanding, and expecting the son to provide care without considering his own needs is unrealistic. Guilt-tripping him may lead to burnout, as it does not acknowledge the emotional and physical strain of caregiving.
B) "You should think about placing your mother in a long-term care facility.":
While this may be a viable option for some families, this statement does not acknowledge the son’s emotional struggle or immediate need for support. Suggesting a long-term care facility may be premature without exploring other options and may cause the son to feel as though he is being pushed into a decision he is not ready to make.
C) "Let me give you some information about respite care for your mother.":
This is the most appropriate response. Respite care provides temporary relief for family caregivers, allowing them time to rest and recharge. It is a supportive approach that acknowledges the son’s exhaustion and provides him with a helpful resource. Respite care can alleviate caregiver burnout and help maintain the quality of care for the client.
D) "I think you should find other family members who could help your mother.":
While involving other family members can be helpful, this response does not provide immediate support or acknowledge the son’s current feelings of exhaustion. Suggesting that he simply find other family members may come across as dismissive of his current emotional state and may not offer the practical help he needs at this moment.
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