The nurse is reviewing the laboratory results for a 35-year-old woman who has been diagnosed with gout. Based upon the above results, what should be the nurse's greatest concern?
$\text { Laboratory tests Serum }$ $\quad $ $\quad $ $\quad $$\text { Results}$
$\begin{array}{c}
\begin{array}{|l|}
\hline \text { Uric Acid } \quad \quad \quad \quad \quad \quad \quad \quad \
\hline \text { WBC } \
\hline \text { ESR } \
\hline \text { Creatinine }\
\hline
\end{array}
\begin{array}{l|}
\hline 7.2 \
\hline 12 \mathrm{X} \mathrm{10} 0^{3} \mathrm{cells} / \mathrm{mm}^{3} \
\hline 25 \mathrm{~mm} / \mathrm{hr} \
\hline 5.4 \mathrm{mg} / \mathrm{dL} \
\hline
\end{array}
\end{array}$

Question

The nurse is reviewing the laboratory results for a 35-year-old woman who has been diagnosed with gout. Based upon the above results, what should be the nurse's greatest concern? 
$\text { Laboratory tests Serum }$ $\quad $ $\quad $ $\quad $$\text { Results}$
$\begin{array}{c}
\begin{array}{|l|} 
\hline \text { Uric Acid } \quad \quad \quad \quad \quad \quad \quad \quad \
\hline \text { WBC } \
\hline \text { ESR } \
\hline \text { Creatinine }\
\hline 
\end{array}
\begin{array}{l|}
\hline 7.2 \
\hline 12 \mathrm{X} \mathrm{10} 0^{3} \mathrm{cells} / \mathrm{mm}^{3} \
\hline 25 \mathrm{~mm} / \mathrm{hr} \
\hline 5.4 \mathrm{mg} / \mathrm{dL} \
\hline 
\end{array}
\end{array}$

Quizplus · Accepted Answer

The laboratory results show an elevated serum creatinine level and a decreased estimated glomerular filtration rate (eGFR), indicating decreased kidney function. This is a concern as gout can cause renal impairment and the medications used to treat gout can also affect kidney function. The nurse should notify the healthcare provider and monitor the patient closely for any worsening of symptoms or complications related to kidney function. The confirmation of gout and presence of inflammation are expected findings in a patient with gout. The elevated white blood cell count may indicate an infection, but this finding alone is not the nurse's greatest concern in this case.

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The Nurse Is Reviewing the Laboratory Results for a 35-Year-Old $\text { Laboratory tests Serum }$