What is the cause of gout?
a. ineffective purine metabolism
b. joint overuse, resulting in "wear and tear"
c. diminished mineral and protein matrix components of the bone
d. inflammation of the bone and bone marrow due to pathogenic bacteria
A
Gout, a disorder of purine metabolism that leaves uric acid deposits in connective tissue, joint spaces, or both, affects primarily middle-aged men. Gout can be a primary (inherited), secondary (resulting from another disease or medication), or idiopathic disease. Manifestations include abrupt onset of pain in a joint (the great toe is most often affected) that becomes swollen, tender, and red; tophi (subcutaneous nodules of uric acid crystals) may develop in various parts of the body.
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The nurse is confident that the client who takes glucosamine sulfate daily is conscien-tious of the safety issues involved when hearing the client state: Select all that apply
a. "I'm always careful to buy the same brand of glucosamine sulfate." b. "If glucosamine sulfate wasn't safe the drug store wouldn't sell it." c. "My pharmacist is so helpful when I have questions about the herbals I take." d. "The liquid form of glucosamine sulfate is what I consistently take." e. "I made sure my physician knew that I was allergic to strawberries."
The nurse is reviewing the laboratory results of a client who is being observed for possible myocardial infarction. Which laboratory result would be most important for the nurse to discuss with the physician?
A) High normal potassium B) Decreased creatine kinase C) Increased hemoglobin D) Increased troponin
In many rural communities the ratio of consumers to doctors is higher than it is in cities. This is an example of:
a. a health access problem in rural areas. b. a lack of compassion among physicians. c. reimbursement barriers in rural states. d. appropriate distribution of health care providers.
A nurse prepares to collect a health history for a patient with narcolepsy. Which strategy should be used to complete this assessment?
1. Provide a structured form for the patient to complete in writing. 2. Seek information from significant others rather than the patient. 3. Use the patient's past medical records to locate important information. 4. Use short, focused interview sessions with active participation by the patient.