September 5

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September 5

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1. Which of the following measures would a nurse encourage a patient in the acute stages of gout to take in order to minimize complications? *

1 point

A. Drinking a minimum of 3000 ml of fluid per day

B. Eating a minimum of 2500 calories per day

C. Walking at least three miles per day

D. Resting at least three hours per day

2. A nurse is performing a physical assessment of a male client with gout. She is knowledgeable that tophi (urate crystals) will not accumulate on the following areas. *

1 point

A. All of the above

B. 1, 3, 4 and 6 only

C. 1, 2 and 6 only

D. 2 and 5 only

3. One drug that may be prescribed and that has long been known to be of value in the prevention and treatment of acute attacks of gout is: *

1 point

A. Colchicine

B. Hydrocortisone

C. Ibuprofen (Motrin)

D. Probenecid (Benemid)

4. The hallmark of osteoarthritis is: *

1 point

A. Podagra

B. Tophi

C. Osteophytes

D. Bony ankylosis

5. Allopurinol (Zyloprim) is used to treat gout. The objective of therapy is to: *

1 point

A. Increase joint mobility

B. Decrease synovial swelling

C. Decrease uric acid production

D. Prevent crystallization of uric acid

6. When teaching a patient with gouty arthritis the side effects of Allopurinol (Zyloprim), the nurse should be sure to include monitoring for the first sign of a severe hypersensitivity reaction, which is: *

1 point

A. Dizziness

B. A skin rash

C. Aplastic anemia

D. Agranulocytosis

7. Allopuril (Zyloprim) is prescribed for a client with gouty arthritis. Which of the following information is appropriate to include in discharge planning? *

1 point

A. He should drink at least 1000 ml fluids/day

B. He should eliminate all foods with purine for the rest of his life

C. He should take the medication before meals

D. He should take the medication immediately after eating

8. When developing a plan of care for a patient with gouty arthritis, which of the following would have the highest priority? *

1 point

A. Apply hot compresses to the affected joints

B. Stress the importance of maintaining good posture to prevent deformities

C. Administer salicylates to minimize inflammatory reaction

D. Ensure an intake of at least 3000 ml/day

9. The nurse’s teaching plan for a client who has gouty arthritis and who is starting a low purine diet would include instructing the client to avoid which of the following foods? *

1 point

A. 1, 2 and 3 only

B. 2, 4 and 6 only

C. 4, 5 and 6 only

D. None of the above

10. Which of the following is most characteristic of gout? *

1 point

A. It may be a familial metabolic disorder of purine metabolism

B. Ninety-five percent of the clients with gout are men between ages 18 to 30.

C. Urate crystal deposits cause a foreign body reaction in the plasma

D. It usually occurs in previously traumatized joints

11. The following are management of osteoarthritis. *

1 point

A. 1, 4 and 6 only

B. 2, 4 and 5 only

C. 1 and 3 only

D. All of the above

12. Which of the following dietary practices would be most appropriate for a patient with gouty arthritis? *

1 point

A. Permanently eliminate foods high in purine

B. Eliminate foods high in purine only during the acute phase

C. Permanently eliminate ingestion of alcohol and all rich foods

D. Ingest foods that will keep the urine acidic

13. The most common joints affected in rheumatoid arthritis is / are *

1 point

A. Lower extremities

B. Small joints

C. Weight bearing joints

D. Non-weight bearing joints

14. Which the following statements is / are true about gouty arthritis? *

1 point

A. 3 only

B. 1 and 3 only

C. 1, 2 3 and 4 only

D. None of the above

15. Which finding distinguishes rheumatoid arthritis from osteoarthritis and gouty arthritis? *

1 point

A. Crepitus with range of motion

B. Elevated serum uric acid levels

C. Symmetry of joint involvement

D. Dominance in weight-bearing joints

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