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Detailed Answer Key For Medical Surgical Exam, A+ Solutions 1. A nurse is reviewing the cause of gout with a group of nurses. Which of the following statements should the nurse make? A. "Uric acid levels drop and calcium forms precipitate." Rationale: With gout, clients have hyperuricemia, rather than a reduction in uric acid. B. "Tophi form in the kidneys and they impair the excretion of uric acid." Rationale: Tophi, or deposits in tissues near a joint, develop in chronic, late-stage g...