The nurse is caring for a client who was diagnosed with "gouty arthritis." Which laboratory test is most important to perform to confirm this diagnosis?

arterial blood gases

uric acid levels

culture and sensitivity

potassium levels

Answer and Explanation

The Correct Answer is B

A.   Arterial blood gases are used to assess oxygenation and acid-base balance and are not specific to diagnosing gouty arthritis.

B.   Gouty arthritis is characterized by elevated uric acid levels in the blood, leading to the deposition of urate crystals in the joints.
C.   Culture and sensitivity tests are used to identify infectious organisms and determine their susceptibility to antibiotics, not for diagnosing gouty arthritis.
D.   Potassium levels are not specific to diagnosing gouty arthritis and are typically measured as part of routine laboratory tests to assess electrolyte balance.

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Correct Answer is D

Explanation

A. While a repeat titer could be considered, if the initial result is negative, administration of the rubella vaccine is typically the next step.
B. Administration of immune globulin is not indicated in this scenario.

C. A negative rubella titer indicates lack of immunity, so further action is needed to protect the individual.
D. Administration of the rubella vaccine is indicated for individuals with a negative rubella titer to provide protection against rubella infection.

A. Client reports no pain B. Oral temperature of 98.9 degrees F C. Decreased level of consciousness D. WBCs are 15,000 E. Scab forming on incision line F. Crackles in bilateral lung bases G. Incision is red and warm to touch

Correct Answer is ["C","D","F","G"]

Explanation

A. The absence of pain does not necessarily indicate the absence of infection.

B. An oral temperature of 98.9 degrees F is within the normal range and does not indicate infection.
C. Decreased level of consciousness can be a sign of systemic infection, especially if accompanied by other symptoms.
D. An elevated white blood cell count (WBC) is indicative of an inflammatory response, which can occur in infection.
E. A scab forming on the incision line is a normal part of wound healing and does not necessarily indicate infection.
F. Crackles in bilateral lung bases may indicate a possible infection.

G. Redness and warmth at the incision site are signs of inflammation and can indicate infection.

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The nurse is caring for a client who was diagnosed with "gouty arthritis." Which laboratory test is most important to perform to confirm this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly hired nurse is completing their health evaluation and physical for their new employment. The laboratory technician draws a titer for rubella. The laboratory results are negative. What would be the next action?

Correct Answer is D

Explanation

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

Correct Answer is ["C","D","F","G"]

Explanation

The client is being admitted to the oncology unit and is being placed on neutropenic precautions. Which lab value would indicate the need for this type of precaution?

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A nurse who uses meticulous sterile technique when performing wound care procedures is attempting to control which link in the chain of infection?

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