The patient has been diagnosed as having gouty arthritis. He asks the nurse to explain the cause of the inflammation of his great toe. The most appropriate nursing response is
a. "You have calcium oxalate deposits that are seen in gouty arthritis."
b. "The inflammation is from small accumulations of uric acid crystals which are called tophi."
c. "The small nodules are not related to the arthritis condition."
d. "You have fat deposits that are common with gouty arthritis."
B
Gout is a metabolic disease resulting from an accumulation of uric acid in the blood. It is an acute inflammatory condition associated with ineffective metabolism of purines.
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An older adult is receiving the highly protein-bound drug phenytoin (Dilantin). Compare the fol-lowing effects and choose the one that describes changes this drug will undergo owing to the effects of aging on blood components
a. Greater biotransformation, making smaller amounts of the drug necessary b. Greater biotransformation, making greater amounts of the drug necessary c. Less biotransformation, making smaller amounts of the drug necessary d. Less biotransformation, making greater amounts of the drug necessary
The nurse is caring for a postoperative patient who needs daily dressing changes. The patient is 3 days post-op and should be going home the next day
Up until now, the patient has refused to learn how to change her dressing. What would indicate to the nurse the patient's readiness to learn how to change her dressing? (Mark all that apply.) A) The patient wants you to teach a family member to do dressing changes. B) The patient expresses interest in the dressing change. C) The patient looks at the incision. D) The patient expresses dislike of the surgical wound. E) The patient assists in opening the packages of dressing material for the nurse.
A nurse is caring for a client with a 5-month-old baby. Which is a benefit of
breastfeeding that the nurse should highlight when educating the client? A) It decreases the risk of hepatic disorders. B) It decreases the incidence of renal problems. C) It decreases the risk of Crohn's disease. D) It decreases the chances of the baby being anemic.
Prior to administering a newly prescribed order for metoprolol (Toprol), the nurse reviews the client's medications and decides to question the order for which reason?
Standard Text: Select all that apply. 1. The client is also prescribed a calcium channel blocker. 2. The client is already taking an antihypertensive medication. 3. The client is using cimetidine. 4. The client is taking oral contraceptives. 5. The client is taking aspirin.