Try Naxlex NCLEX-RN (Free-Trial)

Patient Data

Exhibits

Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

Drinks beer nightly

Hypertension

Sleep apnea

Ibuprofen for pain

Daily aspirin

Type 2 diabetes mellitus

Osteoarthritis

Obesity

Smoking

Answer and Explanation

Correct Answer : A,B,F,G,H

A. Beer consumption, particularly in excess, has been associated with an increased risk of gout due to its high purine content, which can lead to elevated uric acid levels in the body. Uric acid is a key factor in the development of gout, as it can crystallize and deposit in the joints, causing inflammation and pain.
B.   Hypertension is a risk factor for gout, as it is often associated with other metabolic abnormalities, such as insulin resistance and obesity, which can contribute to elevated uric acid levels. Additionally, certain antihypertensive medications, such as diuretics, can increase the risk of gout by raising uric acid levels in the blood.
F. Type 2 diabetes mellitus is a metabolic disorder characterized by insulin resistance and high blood sugar levels. Insulin resistance is associated with increased uric acid production and reduced renal excretion of uric acid, both of which can contribute to the development of gout.
G. Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage in the joints. Studies have shown that individuals with osteoarthritis are at an increased risk of developing gout, possibly due to shared risk factors such as obesity and metabolic syndrome, as well as joint damage and inflammation.
H. Obesity is a significant risk factor for gout, as excess body weight is associated with increased uric acid production and decreased renal excretion of uric acid. Adipose tissue (fat cells) can also produce substances that promote inflammation and contribute to insulin resistance, further increasing the risk of gout in obese individuals.
Incorrect;
C.   While sleep apnea has been associated with various metabolic and cardiovascular disorders, its direct association with gout risk is less clear. However, sleep apnea may indirectly contribute to gout risk through its association with obesity and metabolic syndrome.
D.   While NSAIDs like ibuprofen can be used to manage acute gout attacks, their use alone is not considered a risk factor for developing gout.
E.   Daily aspirin use is not typically associated with an increased risk of gout. In fact, low-dose aspirin is often recommended for individuals at risk of cardiovascular events, including those with gout, to reduce the risk of blood clots and heart attacks.
I. Smoking is not directly associated with an increased risk of gout. However, smoking is a known risk factor for various cardiovascular and respiratory conditions, as well as certain cancers.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

B. Wearing wrist braces or splints at night can help alleviate symptoms of carpal tunnel syndrome by keeping the wrists in a neutral position and reducing pressure on the median nerve. This can help decrease pain and tingling sensations that often worsen at night due to positioning during sleep.
A. While it is important for the client to communicate changes in symptoms to their healthcare provider, worsening pain and tingling at night in bilateral carpal tunnel syndrome is a common symptom and may not require immediate medical intervention.
C. Elevating the hands on two pillows at night may help reduce swelling and alleviate symptoms in some individuals, but it is not specifically indicated for managing carpal tunnel syndrome.
D. Cold compresses may provide temporary relief of symptoms such as pain and inflammation, but they are not typically recommended as a primary treatment for carpal tunnel syndrome, especially before bedtime.

A. Lung sounds clear B. Client can now speak in full sentences without pausing C. Respirations 16 breaths/minute D. Client reports, "It's a lot easier to breathe now." E. Blood Pressure 122/84 mmHg

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Short-acting beta agonists (SABAs) are a type of bronchodilator medication commonly used to relieve the symptoms of an asthmatic attack. When inhaled, SABAs act quickly to relax the smooth muscles in the airways, which helps to open up the air passages and improve airflow to the lungs. This rapid bronchodilation can alleviate symptoms such as wheezing, coughing, chest tightness, and shortness of breath, providing immediate relief during an asthma exacerbation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Patient Data Exhibits Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling experienced worsens at night. Which client teaching should the nurse provide?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse implement?

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of a compromised peripheral arterial circulation of the lower extremity?

Patient Data Exhibits Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?

A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehisces and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next?

Patient Data

Exhibits

Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.