WGU D446 Adult Health 2 Exam 2 | A+ Comprehensive Study Guide: Neurological Disorders, Amyotrophic Lateral Sclerosis (ALS), Airway Protection, Oncology Pain Management, Opioid Therapy, Nonopioid Analgesia, Gout Pathophysiology, Hyperuricemia, Acute Gout A

WGU D446 Adult Health 2 Exam 2 | A+ Comprehensive Study Guide: Neurological Disorders, Amyotrophic Lateral Sclerosis (ALS), Airway Protection, Oncology Pain Management, Opioid Therapy, Nonopioid Analgesia, Gout Pathophysiology, Hyperuricemia, Acute Gout Attacks, Chronic Gout Progression, Tophi Formation, Renal Dysfunction, Hypertension, Obesity, Alcohol Triggers, Aspirin Effects, Clinical Assessment, Nursing Priorities, NCLEX-Style Questions, SATA Practice & Rationales Reviewed 2026 While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?Rationale:finding in a client with ALS, as it can lead to ineffective airway clearance and increase the risk of aspiration pneumonia. Immediate intervention, such as suctioning or respiratory support, may be necessary to maintain airway patency and prevent complications. Weakened cough A client with stage 4 bone cancer is admitted to the hospital verbalizes continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse implement?Rationales: Both opioids and nonopioids are appropriate intervention managing severe pain as it addresses pain from multiple pathways and provide more effective pain relief. Administer opioid and non-opioid medication simultaneously. A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not.Each row must have at least one, but may have more than one, response option selected. temperature 100.5° F (38.1° C). Heart rate 97 beats/minute Respirations 18 breaths/minute Blood pressure 151/87 mm Hg Oxygen saturation 95% on room air Height is 5 ft 11 in (180.34 cm) Weight is 228 lb (103.4 kg) Body mass index (BMI) is 31.8 kg/m2 Pain rating of 8 on 0 to 10 scale, in the right foot Day 1, 0830 Renal dysfunction- Chronic gout A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not.Each row must have at least one, but may have more than one, response option selected. Day 1, 0830 Visible tophi - Chronic gout A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has no.tEach row must have at least one, but may have more than one, response option selected. Day 1, 0830 Low grade fever - Acute gout attack A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not.Each row must have at least one, but may have more than one, response option selected. Day 1, 0830 Pain at the affected joint - Acute gout attack A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months. The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not.Each row must have at least one, but may have more than one, response option selected. Day 1, 0830 Occur in more than 1 joint - Chronic gout A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client says that the pain feels like it is another attack of gout, which he has had on 2 other occasions in the last 4 months.The client tells the nurses that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the gout