A client is complaining of severe pain in the left great toe. What lab studies that the nurse reviews indicate that the client may have gout?
A) Elevated white blood count
B) Elevated uric acid levels
C) Decreased hemoglobin and hematocrit
D) Increased AST and ALT
B
Feedback:
Gout is characterized by hyperuricemia (accumulation of uric acid in the blood) caused by alterations in uric acid production, excretion, or both. An elevated white blood count may be indicative of any inflammatory response and is not specific to gout. A decreased hemoglobin and hematocrit may indicate bleeding from somewhere in the body. Increased AST and ALT would indicate liver dysfunction.
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A client's genetic testing reveals that he is a carrier for a disease. Which individuals would have the greatest personal health interest in this fact?
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