A 71-year-old patient is manifesting signs and symptoms of gout. When assessing him for signs and symptoms of gout, the nurse should pay particular attention to

a. dietary intake of foods high in cholesterol.
b. mobility in the hip and knee joints.
c. edema or discoloration of the great toe.
d. a history of trauma or occupational injury.


C
Tophi (calculi containing sodium urate deposits that develop in periarticular fibrous tissue, typically in patients with gout) result in inflammation of the joint; it is unclear why this occurs. Typically the big toes are involved, but other joints can also be affected. Particular attention should be paid to foods high in purines.

Nursing

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A nursing supervisor thinks that a staff nurse serving on several multidisciplinary committees is not demonstrating collaborative practice behaviors. What behavior by the staff nurse would best illustrate the supervisor's opinion? The staff nurse

a. agrees with, but does not incorporate, other disciplines' input. b. does not listen to viewpoints and opinions of other disciplines. c. feels nursing is the only viewpoint for analyzing patient issues. d. is territorial and unwilling to share the patients' care plans.

Nursing

Which concept should the nurse keep in mind when preparing a care plan for a patient with prostate cancer?

A) Prostate cancer is a fast-growing cancer. B) Prostate cancer occurs predominantly in middle-age men. C) Men with localized prostate cancer often die of other causes. D) Prostate cancer is easy to diagnose early.

Nursing

A patient being treated for a traumatic brain injury is demonstrating signs of contractures as a complication associated with immobility. Which of these can the nurse implement to reduce these complications?

1. ensure oxygen saturation level of 92% 2. apply antiembolism stockings 3. turn and reposition every 4 hours 4. implement passive range of motion exercises

Nursing

A client is prescribed to receive ½ cup of a dietary supplement 3 times a day. How many Tablespoons of the supplement will the client be taking each day?

1. 8 2. 12 3. 16 4. 24

Nursing