A patient comes to the clinic reporting sudden pain and swelling of one knee joint. The primary care NP suspects gout. When preparing to order diagnostic tests, the most important initial test the primary care NP should order is:
a. renal function tests.
b. serum uric acid levels.
c. 24-hour urine collection.
d. synovial fluid aspirate for Gram stain and culture.
D
Although the other tests are part of the diagnostic process, the most important differential diagnosis to be made in a patient with gout is the exclusion of a septic joint.
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A nurse assesses a client who is admitted with hip problems. The client asks, "Why are you asking about my bowels and bladder?" How should the nurse respond?
a. "To plan your care based on your normal elimination routine." b. "So we can help prevent side effects of your medications." c. "We need to evaluate your ability to function independently." d. "To schedule your activities around your elimination pattern."
A patient tells a nurse that she drinks wine for its cardioprotective effects. She wants to know how much is safe. The nurse is correct in telling her that:
a. "A couple of glasses of wine 1 or 2 days a week will help prevent heart disease." b. "Abstaining from alcohol completely is the best way to prevent heart disease." c. "If you drink only on weekends, you will minimize your risk of developing heart disease." d. "Cardioprotective effects are greatest in people who live an unhealthy lifestyle."
The public health informatics nurse is reviewing surveillance data. What are the sources of these data? Select all that apply.
A) Syndromes B) Pharmacy data C) Active systems D) Passive systems E) Indicator factors
A 29-year-old client comes to the clinic because she has not had a menstrual period for 2 months and thinks she is pregnant. The nurse would assess the client for which of the following symptoms?
A) Fever and chills occurring in the early morning B) Nausea and vomiting that fade as the day goes on C) Alternating bouts of diarrhea and constipation D) Headache and constant weakness