A client comes to the clinic with a complaint of pain in the right great toe and is eventually diagnosed with gout. When planning teaching for this client, what management technique should the nurse emphasize?
Restrict weight-bearing on the right foot
Ensure fluid intake of at least 8 liters per day
Restrict consumption of foods high in purines
Take OTC calcium supplements consistently
The Correct Answer is C
Choice A rationale:
Restricting weight-bearing on the affected foot may provide some temporary relief from pain during an acute gout attack. However, it is not a long-term management strategy and can lead to muscle weakness and joint stiffness. It's important to gradually resume weight-bearing activities as tolerated to maintain joint function.
Choice B rationale:
Adequate fluid intake is essential for overall health and can help to flush out uric acid from the body. However, 8 liters per day is an excessive amount of fluid and could lead to electrolyte imbalances and other health problems. A more appropriate recommendation for a client with gout would be to aim for a fluid intake of 2-3 liters per day, unless otherwise advised by a healthcare provider.
Choice C rationale:
Restricting consumption of foods high in purines is a key management strategy for gout. Purines are substances found in certain foods that break down into uric acid in the body. High levels of uric acid can lead to the formation of urate crystals, which deposit in joints and cause inflammation and pain. Examples of foods high in purines include organ meats, red meat, seafood, and some types of beans and lentils.
Choice D rationale:
Calcium supplements have not been shown to be effective in the management of gout. In fact, some studies have suggested that calcium supplements may even increase the risk of gout attacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Losing 2 pounds in 2 weeks is not a significant weight loss and may not be a cause for concern in this context. It's important to monitor weight trends over time, but this isolated statement doesn't necessarily require immediate discussion.
Choice B rationale:
Engaging in physical activity like swimming is generally beneficial for individuals with rheumatoid arthritis. It can help improve joint mobility, reduce pain, and enhance overall well-being. The nurse might encourage the client to discuss any specific concerns or limitations with their healthcare provider, but the activity itself is not alarming.
Choice C rationale:
Taking an antibiotic concurrently with naproxen can potentially increase the risk of adverse effects. Some antibiotics, like those in the fluoroquinolone class (e.g., ciprofloxacin, levofloxacin), can interact with naproxen and increase the risk of tendonitis or tendon rupture. This interaction warrants further discussion to ensure the client is aware of potential risks and to explore alternative medications if necessary.
Choice D rationale:
Using applesauce to facilitate medication intake is a common and acceptable practice. It does not affect the absorption or efficacy of naproxen.
Correct Answer is D
Explanation
Choice A rationale:
The length of time the mother has been caring for the baby is not directly relevant to the risk of HIV transmission through breastfeeding. While a longer duration of breastfeeding may increase overall exposure, the primary concern is whether breastfeeding is occurring at all, as it presents a significant transmission route.
Choice B rationale:
Kissing does not typically transmit HIV, as the virus does not survive well outside the body. While there is a very low theoretical risk of transmission if both individuals have open sores or bleeding gums, it's not a primary concern in this scenario.
Choice C rationale:
The timing of the baby's last antibiotic treatment is not directly relevant to the risk of HIV transmission from breastfeeding. Antibiotics do not prevent or treat HIV infection, and their use would not impact the assessment of breastfeeding-related risks.
Choice D rationale:
Breastfeeding is a significant route of HIV transmission from mother to child. If the baby is breastfeeding, it's crucial for the nurse to determine the mother's viral load and CD4 count, assess the baby's HIV status, and provide appropriate counseling and interventions to reduce the risk of transmission. This information is essential for guiding decisions about infant feeding and potential prophylactic measures to protect the baby's health.
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