A client's serum uric acid level is 7.4 mg/dL. Although the client is asymptomatic, the provider prescribes pharmacologic treatment. The client says, "I don't understand why I have to take medicine if I don't have symptoms
" Which nursing response is indicated? 1. "People with high uric acid levels generally develop gout."
2. "Your uric acid level is very high, which puts you at high risk for gout."
3. "Because your father and brother had gout, you are at risk."
4. "I'm not certain, as your only strong family history is of kidney stones."
3
Rationale 1: It is possible to have elevated serum uric acid and never develop gout.
Rationale 2: A uric acid level of 7.4 mg/dL is just above the normal level and would not be interpreted as "very high."
Rationale 3: If multiple family members have gout and the client has high uric acid levels, the risk of gout is increased, and treatment is indicated.
Rationale 4: A strong family history of conditions such as uric acid nephropathy or urolithiasis along with high uric acid levels indicates the need for therapy.
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