A patient is experiencing symptoms typical of gout in the right foot. The nurse would prepare the patient for which diagnostic examinations? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. MRI of the affected foot
2. Joint aspiration
3. Serum uric acid level
4. CT of the affected foot
5. X-ray of the affected foot
2,3,5
Rationale 1: An MRI is not likely to be needed to assess gout.
Rationale 2: Joint aspiration is performed to differentiate gout from infectious processes in the joint.
Rationale 3: Serum uric acid levels are often drawn in the diagnosis of gout. However, not all persons with gout have elevated uric acid levels, and some persons who do not have gout have increased levels.
Rationale 4: A CT is not likely to be necessary to diagnose gout.
Rationale 5: An X-ray would be appropriate to assess underlying joint damage, especially in patients who have had multiple episodes of gouty arthritis.
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