The nurse is caring for Mr. Able, age 46, who has gout. Which of these morning laboratory values does the nurse monitor for this patient?

Uric acid

Blood urea nitrogen

Creatinine

Cholesterol

Answer and Explanation

The Correct Answer is A

A. Uric acid: Elevated uric acid levels are the hallmark of gout and are used to monitor and diagnose the condition. Managing uric acid levels is crucial to prevent gout attacks.
B. Blood urea nitrogen: This is more related to kidney function and not directly relevant to gout.
C. Creatinine: Also related to kidney function. While kidney function is important in gout patients, uric acid levels are more directly related to gout management.
D. Cholesterol: High cholesterol is a cardiovascular risk but is not directly related to gout. Monitoring cholesterol is important but not the primary focus for gout management.

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Correct Answer is B

Explanation

A. Acutely inflamed joints will respond best to heat therapy: Heat can help relieve chronic joint stiffness and pain, but acutely inflamed joints are best treated with cold therapy to reduce inflammation and pain.
B. It is essential to monitor all body systems for effects of the disease: RA is a systemic autoimmune disorder that can affect multiple body systems, including the cardiovascular, respiratory, and integumentary systems, making comprehensive monitoring crucial.
C. Injury and age are the greatest contributors to disease development: RA is not primarily caused by injury or aging. It is an autoimmune condition that can develop at any age, although it is more common in middle age and is influenced by genetic and environmental factors.
D. Exercise is poorly tolerated and frequent rest is needed: While rest is important during flare-ups, regular, gentle exercise is beneficial for maintaining joint function and overall health in RA patients. It helps maintain mobility and reduces joint stiffness.

A. Legs in adduction B. More than 90-degree hip flexion C. Internal leg rotation D. Legs in abduction

Correct Answer is D

Explanation

A. Legs in adduction: Adduction can increase the risk of dislocating the hip prosthesis and should be avoided.
B. More than 90-degree hip flexion: Flexing the hip more than 90 degrees can increase the risk of dislocation and should be avoided.
C. Internal leg rotation: Internal rotation of the leg can increase the risk of hip dislocation postoperatively.
D. Legs in abduction: Maintaining legs in abduction (spreading them apart) helps keep the hip joint stable and reduces the risk of dislocation after hip replacement surgery.

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The nurse is caring for Mr. Able, age 46, who has gout. Which of these morning laboratory values does the nurse monitor for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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