Question 1.
Gout usually affects the 1st metatarsophalangeal joint and is a result of hypouricemic serum uric acid levels less < 6.8 mg/dl.
T
F
Question 2.
When monitoring a patient with gout, which test would not be needed?
A: renal function test
B: glucose levels
C: Urinalysis
D: CBC
Question 3.
When educating a patient about managing gout, the nurse recommends that the patient avoid foods high in purine. What are the foods that the patient should limit. (Check all that apply)
A: Beer
B. Organ meats
C: Dried beans
D: Whole grain bread
E: Shellfish
F: Watermelon
Question 4.
When assessing the patient with gout, the nurse notices subcutaneous nodules and that cause the patient pain. These nodules are called
A: Gout bodies
B: Lewy bodies
C: Tophi
D: Uric acid stones
Question 5.
Overproduction or underexcretion of urate or both can cause hyperuricemia (too much uric acid in the blood). A genetic factor called Lesch-Nyan Syndrome that can lead to hyperuricemia. How does hyperuricemia occur in these patients.
A. Patients overproduce uric acid due to in inherited enzyme defect.
B. Patients have an inherited kidney disorder that leads to the overexcretion of uric acid.
C. Patients have trisomy of the 21 chromosome and are unable to excrete uric acid.
D. Patients have an inherited gene that causes addiction and they can’t stop drinking beer.
Question 6.
During an acute gouty arthritis attack, treatments to lower urate levels should be administered within the next 24 hours. The patient is receiving treatment and is feeling better within hours. He does not want to take any more of this medicine and wishes to return home. What should the nurse do first?
A: Advise the patient to avoid meats and alcohol and she will be back to normal in a few days. Take NSAIDs for pain as needed.
B: Restrain the patient and force her to take her medications.
C: Explain that during an acute gout attack, urate lowering therapy should not be interrupted even if you are feeling better, it is important to follow the protocol.
D: Ask the provider if the patient will be ok just taking corticosteroids.
Question 7.
Sometimes patients present with similar symptoms of severe joint pain with gout and septic arthritis. What test would help differentiate the two illnesses.
A: Radiograph of the kidney to check for kidney stones
B: Synovial fluid analysis of WBC in order to rule out infection
C: Ultrasound of the joint to see the anatomy
D. Serum Uric Acid levels in order to see if the patient has gout
(Golding, 2019)