BIO MED SURG 1/ HESI P 1 (GRADED A) Questions and Answer A GRADED

A client with gout experiences an acute attack. The client reports he has been trying to lose weight. Which client information is most important for the nurse to obtain?  Serum cholesterol level (not related to the acute attack gout)  Capillary glucose level (not related to the acute attack gout)  Daily caloric intake (Starvation diet can cause an acute attack of gout)  Daily calcium intake (not related to the acute attack gout) 2. A male client with a C-6 spinal cord injury is in rehabilitation. In the middle of the night he reports a severe, pounding headache, and has observable goose bumps. The nurse should assess for which trigger?  Loud hallway noise (Not manifestation of autonomic hyperreflexia)  Fever (Not manifestation of autonomic hyperreflexia)  Full bladder  Frequent cough (Not manifestation of autonomic hyperreflexia) * A pounding headache is a sign of autonomic hyperreflexia, an acute emergency that occurs because of an exaggerated sympathetic response in a client with a high-level spinal cord injury. Any stimulus below the level of injury can trigger autonomic hyperreflexia, but the most common cause is an overly distended bladder