Question 31 Question 32 A 49-year-old male patient with toes swelling visited an outpatient department.The patient has no similar previous history.Physical examination showed swollen big toes of right foot. Laboratory investigation revealed increment of WBC and uric acid 9mg/dl (normal 3.5-7.0 mg/dL) . What is the stage of the disease of this patient? a. Asymptomatic hyperuricaemia b. Acute gouty arthritis c. Tophaceous gout d. Inter-critical stage A 23-year-old male patient came to the emergency unit after snakebite. The patient has weak pulse, which is 120/min blood pressure 70/50mmHg, and respiratory rate 26/min The patient has edema at the site of bite and is hopeless due to his condition. What is the priority nursing diagnosis of this patient? a. Anxiety b. Decreased cardiac output c. Impaired breathing pattern d. Fluid volume deficit

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Question 31 Question 32 A 49-year-old male patient with toes swelling visited an outpatient department.The patient has no similar previous history.Physical examination showed swollen big toes of right foot. Laboratory investigation revealed increment of WBC and uric acid 9mg/dl (normal 3.5-7.0 mg/dL) . What is the stage of the disease of this patient? a. Asymptomatic hyperuricaemia b. Acute gouty arthritis c. Tophaceous gout d. Inter-critical stage A 23-year-old male patient came to the emergency unit after snakebite. The patient has weak pulse, which is 120/min blood pressure 70/50mmHg, and respiratory rate 26/min The patient has edema at the site of bite and is hopeless due to his condition. What is the priority nursing diagnosis of this patient? a. Anxiety b. Decreased cardiac output c. Impaired breathing pattern d. Fluid volume deficit

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Question 31:The correct answer is b. Acute gouty arthritis.Explanation:The patient's symptoms of swollen big toes, increased white blood cell count, and elevated uric acid levels are indicative of acute gouty arthritis. Acute gouty arthritis is a sudden onset of severe pain and inflammation in the affected joint, typically the big toe, due to the formation of urate crystals.Question 32:The correct answer is b. Decreased cardiac output.Explanation:The patient's presentation of weak pulse, low blood pressure, and increased respiratory rate are indicative of decreased cardiac output. This is a life-threatening condition that requires immediate medical intervention. The priority nursing diagnosis in this case would be decreased cardiac output, as it directly impacts the patient's vital signs and overall stability.

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