A clinic does not have the capacity to get quick results of joint fluid testing for urate crystals. To support the diagnosis of gout, the nurse would review a client's case for which assessment findings?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The client reports that the joint was "normal" yesterday.
2. The inflamed joint is red.
3. The client's BUN is elevated.
4. X-rays confirm the joint swelling is not symmetrical.
5. Redness and swelling are present in multiple joints.
1,2,4
Rationale 1: Development of maximum inflammation in one day is a criterion for gout.
Rationale 2: Redness over the involved join is a criterion for gout.
Rationale 3: Elevation of BUN does not support a diagnosis of gout.
Rationale 4: Asymmetric swelling within the joint is a criterion for gout.
Rationale 5: Unilateral involvement is a criterion for gout.
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