A 66-year-old patient is undergoing a test to rule out the presence of gout. The definitive diagnosis of gout is established by which of the following examinations?

A) Microscopy of synovial fluid
B) Muscle biopsy
C) Elevated ESR
D) Electromyogram


Ans: A
Feedback: A definitive diagnosis of gout arthritis is established by polarized light microscopy of the synovial fluid of the involved joint. A muscle biopsy may be done to determine polymyositis. An elevated erythrocyte sedimentation rate is noted in rheumatoid arthritis. An electromyogram is performed to rule out degenerative muscle disease in polymyositis.

Nursing

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The nurse prepares to irrigate a client's wound with boric acid. How much boric acid is in 500 mL of 0.5% solution?

1. 1.25 2. 2.5 3. 3.75 4. 4

Nursing

Concerning injuries to the infant's plexus during labor and birth, nurses should be aware that:

1. if the nerves are stretched with no avulsion, they should recover completely in 3 to 6 months. 2. Erb palsy is damage to the lower plexus. 3. parents of children with brachial palsy are taught to pick up the child from under the axillae. 4. unfortunately, breastfeeding is not recommended for infants with facial nerve pa-ralysis until the condition resolves.

Nursing

When caring for the child with Kawasaki disease, the nurse should know which information?

a. A child's fever is usually responsive to antibiotics within 48 hours. b. The principal area of involvement is the joints. c. Aspirin is contraindicated. d. Therapeutic management includes administration of gamma globulin and aspirin.

Nursing

The home health assistant contributes to the ____________________ component of the nursing process by actively participating in care plan conferences.

Fill in the blank(s) with the appropriate word(s).

Nursing