Chapter 26: Common Musculoskeletal Concerns Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. After first managing the pain being experienced by the client with gout, the treatment focuses
on: a. b. c. d.
strengthening the affected joints through a controlled exercise plan. minimizing joint disfigurement by using therapeutic splinting. preventing systemic involvement by altering the client’s diet. managing chronic pain by taking regular doses of salicylates.
ANS: C
After the acute attack, the goal is to prevent systemic spread of the disease. This may be done by avoiding drugs or foods that are high in purine and alcohol, both of which increase uric acid levels. Exercise and splinting are not effective in achieving the goal and salicylates should be avoided since they will affect the effectiveness of the prescribed medications for gout. DIF: Cognitive Level: Applying REF: p. 336 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Physiological Adaptation 2. A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the
following should the nurse include in the teaching? a. Avoid foods high in purine. b. Encourage the patient to take in 1 L of fluid daily. c. Consume one glass of red wine daily. d. Recommend that the patient eat 12-16 ounces of foods high in protein such as red meat. ANS: A
A person who is having an acute attack of gout should avoid foods that are high in purine, take in 2 L of fluid daily, avoid alcohol, and only have 4-6 ounces of foods high in protein daily. DIF: Cognitive Level: Applying REF: p. 336 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Physiological Adaptation 3. Which of the following manifestations would a nurse expect in a 70-year-old patient who has
the diagnosis of osteoarthritis? a. Swan neck deformity of the hand b. Subluxation of the fingers c. Heberden’s nodes on the distal phalanges d. Enlarged great toe ANS: C