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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.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

Inhaled short acting beta agonists can should be administered up to 3 times until there the obstruction in managed. In the event that the nebulization fails to relieve the respiratory distress, other treatment options such as magnesium sulphate can be used.

Oxygen flow should also be titrated appropriately to achieve the targeted SPO2 levels. However, changing the modality of oxygen delivery is not necessary at this part.

Continuous vital signs monitoring allows for timely interventions at all times to prevent respiratory failure. Although not a primary measure, raising the head of the bed can increase comfort reducing the work of breathing.

While incentive spirometry may have a role in the management of asthma in certain situations, such as during the recovery phase after an acute exacerbation or in individuals with chronic asthma who have reduced lung function, it is not typically used as a primary intervention during the acute phase of an asthma attack.

A. Administer IV fluid bolus as prescribed by the healthcare provider. B. Encourage the client to splint the Incision with a pillow to cough and deep breathe. C. Medicate for pain and monitor vital signs according to protocol. D. Apply oxygen at 10 L/minute via non-rebreather mask and monitor pulse oximeter.

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.

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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.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

Correct Answer is C

Explanation

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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.