WGU Adult Health 2 D446 Complete with 100% accurate solutions + rationales 2026

Amyotrophic Lateral Sclerosis (ALS)

Progressive neurodegenerative disease affecting motor neurons.

Neurological Assessment

Evaluation of nervous system function and symptoms.

Ineffective Airway Clearance

Inability to maintain clear airways, risking aspiration.

Suctioning

Procedure to remove secretions from airways.

Respiratory Support

Assistance provided to maintain adequate breathing.

Stage 4 Bone Cancer

Advanced cancer with significant pain and complications.

Pain Scale

0 to 10 scale measuring pain intensity.

Opioid Medications

Drugs used to manage severe pain effectively.

Non-Opioid Medications

Pain relievers not derived from opium.

Chronic Gout

Long-term condition characterized by recurrent gout attacks.

Acute Gout Attack

Sudden onset of severe pain and inflammation.

Uric Acid Crystals

Deposits causing inflammation in gout conditions.

Tophi

Lumps formed by uric acid crystal deposits.

Low Grade Fever

Slightly elevated body temperature, often indicating infection.

Joint Pain

Discomfort or pain in any joint.

Multiple Joint Involvement

Gout affecting more than one joint simultaneously.

Body Mass Index (BMI)

Measurement of body fat based on height and weight.

BMI Calculation

Weight in kilograms divided by height in meters squared.

Vital Signs

Measurements of body functions: temperature, heart rate, etc.

Respiratory Rate

Number of breaths taken per minute.

Blood Pressure

Force of blood against artery walls.

Oxygen Saturation

Percentage of oxygen in the blood.

Gout

A type of arthritis caused by uric acid buildup.

Uric Acid

A waste product that can crystallize in joints.

Obesity

Increases uric acid production and decreases excretion.

Hypertension

High blood pressure linked to increased gout risk.

Gout Attack

Sudden, severe pain in joints, often in the toe.

Right Great Toe

Common site for gout pain and inflammation.

Alcohol Consumption

Beer increases uric acid production and reduces excretion.

Daily Aspirin

Can raise uric acid levels by reducing kidney excretion.

Sleep Apnea

Intermittent hypoxia may elevate uric acid levels.

Pain Duration

Client's pain lasted 9 days without resolution.

Previous Gout Attacks

Client experienced 2 attacks in the last 4 months.

Swelling

Inflammation accompanying gout pain in affected joints.

Treatment Resolution

Past attacks resolved without treatment in 5 days.

Intermittent Hypoxia

Oxygen deprivation linked to increased uric acid.

Risk Factors

Obesity, hypertension, alcohol, and sleep apnea increase gout.

Kidney Health

Poor function can lead to higher uric acid levels.

Pain Characteristics

Client describes pain as severe and swollen.

Evening Onset

Pain began in the evening, indicating possible triggers.

Client Age

59 years old, a demographic at risk for gout.

Joint Inflammation

Gout causes inflammation, leading to redness and warmth.

Chronic Condition

Gout can become chronic if untreated over time.

Lifestyle Factors

Diet and habits significantly influence gout risk.

Medical History

Understanding past gout episodes aids in treatment.

Gout

A type of arthritis causing painful joint inflammation.

Purines

Substances that can raise uric acid levels.

Organ meats

High purine foods to avoid in gout.

Liver

High purine organ meat; should be avoided.

Sardines

Small oily fish; high in purines.

Shrimp

Shellfish; recommended to limit in gout diet.

Chronic pancreatitis

Long-term inflammation of the pancreas.

Dietary triggers

Foods that worsen symptoms in chronic pancreatitis.

Acute chest pain

Severe pain indicating possible myocardial infarction.

MONA TASS

Medications for managing acute chest pain.

Morphine

Pain relief medication for myocardial infarction.

Rescue inhaler

Inhaler used for immediate asthma symptom relief.

Asthma attack

Sudden worsening of asthma symptoms.

Exacerbation

Worsening of symptoms due to triggers.

Shortness of breath

Difficulty in breathing; common in asthma.

Diaphoresis

Excessive sweating, often with chest pain.

Vascular Doppler

Device to assess blood flow in vessels.

Edema

Swelling due to fluid retention.

Palpable pulses

Detectable heartbeat in blood vessels.

Subjective data

Patient-reported information about symptoms.

Outdoor activity

Exercise that can trigger asthma symptoms.

Expired inhaler

Outdated medication potentially ineffective for asthma.

Pain management

Strategies to alleviate discomfort in patients.

Exacerbation

Worsening of asthma symptoms outdoors.

Objective Data

Observable information gathered during assessment.

Rescue Inhaler

Medication used for acute asthma relief.

Acute Asthma Attack

Sudden worsening of asthma symptoms requiring immediate care.

Oxygen Saturation

Measurement of oxygen in blood; 88% indicates hypoxemia.

Respiratory Rate

Number of breaths per minute; 28 indicates distress.

Blood Pressure

130/86 mm Hg; indicates normal range.

Lung Sounds

Wheezes indicate airway obstruction during expiration.

Capillary Refill Time

2 seconds; assesses peripheral circulation.

Renal Calculus

Kidney stones causing severe flank pain and nausea.

Priority Nursing Intervention

Administer analgesics for pain relief in renal calculus.

Risk for Aspiration

Potential for airway compromise due to vomiting.

Diaphoresis

Excessive sweating, often associated with pain or stress.

Pheochromocytoma

Adrenal gland tumor causing severe headaches and diaphoresis.

Lumbar Puncture

Procedure that may cause headaches when sitting up.

Right-Sided Heart Failure

Condition indicated by lower extremity edema and ascites.

Maslow's Theory

Framework prioritizing basic needs before higher-level needs.

Morphine

Pain relief medication often used in acute situations.

Chest Pain with Radiation

Symptom indicating possible cardiac issues requiring immediate care.

Fluid in Stomach

May indicate ascites or other abdominal issues.

Nausea and Vomiting

Common symptoms associated with renal calculus.

Initial Assessment

First evaluation of vital signs and symptoms.

Emergency Department (ED)

Healthcare setting for urgent medical issues.

Raynaud's phenomenon

Vasospasm causing reduced blood flow to extremities.

Lumbar puncture

Procedure to collect cerebrospinal fluid.

Glaucoma

Increased intraocular pressure damaging optic nerve.

Eye drop regimen

Essential for managing glaucoma and preserving vision.

GERD

Gastroesophageal reflux disease causing heartburn and discomfort.

Airborne isolation

Precaution for airborne pathogens like tuberculosis.

Tuberculosis (TB) symptoms

Fever, night sweats, productive cough with blood.

IV fluid replacement

Critical for maintaining circulation and blood pressure.

Anastomosis leakage

Complication after surgery indicating possible infection.