Patient Data

Exhibits here

The healthcare provider places orders to determine the extent of the client condition. Drag from Word Choices to complete the sentence.

Based on the client's laboratory findings, the nurse recognizes that the client is having an acute gout attack and is most at risk for
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and
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in his affected joint.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Inflammation and discoloration are key symptoms of an acute gout attack.

Inflammation: This occurs when urate crystals in the joints trigger an immune response, causing swelling, redness, warmth, and significant pain.
Discoloration: Typically presents as redness over the affected joint, due to increased blood flow and inflammation, highlighting the body's response to the crystal deposits.

These symptoms help healthcare providers identify and treat gout, focusing on reducing inflammation and managing uric acid levels.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

C.Although postoperative pain can cause a similar presentation, pain management is not the priority intervention.

D. The client's vital signs of tachycardia, tachypnea, and elevated blood pressure suggest potential respiratory distress or inadequate oxygenation following the thoracotomy. Applying oxygen at a high flow rate via a non-rebreather mask can help improve oxygenation and support the client's respiratory function.

A. Remain upright following meals. B. Avoid wearing tight fitting clothes. C. Minimize intake of spicy foods. D. Begin a smoking cessation program.

Correct Answer is A

Explanation

A. Remaining upright following meals helps prevent gastric contents from refluxing into the esophagus by promoting gravity-assisted emptying of the stomach and reducing intra- abdominal pressure. This can help alleviate symptoms of GERD such as heartburn and regurgitation.
B. Wearing tight fitting clothes can contribute to increased pressure on the abdomen, which may worsen symptoms of GERD by further compressing the stomach and promoting reflux. While avoiding tight fitting clothes is important for minimizing discomfort, it is not as critical as remaining upright following meals in managing GERD symptoms.
C. Spicy foods can exacerbate symptoms of GERD in some individuals by irritating the esophagus and increasing gastric acid secretion. While minimizing intake of spicy foods is advisable for many people with GERD, it may not be as universally important as the instruction to remain upright following meals.
D. Quitting smoking is important for overall health and can help improve symptoms of GERD. However, while smoking cessation is beneficial, it may not directly address the immediate need to minimize symptoms following meals as the instruction to remain upright does.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?

Correct Answer is A

Explanation

A client receives a prescription for 1 L of lactated Ringers to be infused IV over 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Patient’s Data Exhibits Select the 3 dietary choices that are not part of the recommended diet gout.

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

While caring for a client with a full thickness burn covering 40% of the body, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?

Patient Data Exhibits For each medication used to treat gout, choose the most likely therapeutic outcome and the teaching associated with the medication.

The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?

Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?