The nurse is reviewing the laboratory results for a 35-year-old ...

[RODY.ELKHALIL]

The nurse is reviewing the laboratory results for a 35-year-old woman who has been diagnosed with gout. Based upon the above results, what should be the nurse's greatest concern?
 
  1. The patient's gout is confirmed by the lab results.
  2. The patient has an infection.
  3. The patient has inflammation present.
  4. The patient's kidney function is decreased.

Question 2

A patient recovering from a total hip replacement has vital signs assessed by unlicensed assistive personnel. Which vital sign value should cause the most concern for the nurse?
 
  1. blood pressure 110/76
  2. heart rate 82
  3. respiratory rate 18
  4. temperature 102 F

[HandsomeMarc]

Answer to Question 1

Correct Answer: 4
All of these lab results are elevated for a 35-year-old woman. While all options are correct assumptions from analyzing the results, the most significant and worrisome finding is the elevation of the creatinine, since it indicates damage to the kidney. Kidney damage is a complication of stone formation, which occurs with gout.

Answer to Question 2

Correct Answer: 4
The elevated temperature may indicate an infectious process, such as a surgical site infection, and would need rapid intervention. The other vital signs are within normal limits.

[RODY.ELKHALIL]

Thank you

[HandsomeMarc]

Happy to help you