A client with a history of gout asks the nurse about potential risk factors for the condition.
What statement by the nurse correctly identifies a risk factor associated with gout?
"Excessive alcohol consumption is unrelated to gout development.”
"Low-purine diets are a significant risk factor for gout.”
"Obesity and hypertension have no association with gout.”
"Certain medications, such as diuretics, can contribute to gout.”
The Correct Answer is D
"Excessive alcohol consumption is unrelated to gout development." This statement is not entirely accurate.
Excessive alcohol consumption, especially of beer and spirits, has been associated with an increased risk of gout.
Alcohol can raise uric acid levels and contribute to gout development, although it is not the sole cause.
Choice B rationale:
"Low-purine diets are a significant risk factor for gout." This statement is incorrect.
Low-purine diets are actually recommended for individuals with gout because foods high in purines can lead to higher uric acid levels, which can trigger gout attacks.
Low-purine diets help reduce the risk of gout flares.
Choice C rationale:
"Obesity and hypertension have no association with gout." This statement is inaccurate.
Obesity and hypertension are indeed risk factors associated with gout.
Obesity can lead to increased uric acid production, and hypertension is associated with higher uric acid levels as well.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
"Chronic gouty arthritis." Chronic gouty arthritis is a potential complication of gout, but it is not the highest priority when discussing potential risks with the client.
Kidney stones and kidney damage (nephrolithiasis) are more concerning complications due to their impact on overall health.
Choice B rationale:
"Tophi formation in joints and soft tissues." Tophi formation is a complication of gout and can lead to joint deformities and limited mobility.
While it is important to address, kidney stones and kidney damage pose a more immediate and severe threat to the client's well-being.
Choice C rationale:
"Joint deformities and limited mobility." This is a valid concern, but kidney stones and kidney damage (nephrolithiasis) should be prioritized when discussing potential complications of gout because they can have more serious systemic consequences.
Choice D rationale:
"Kidney stones or kidney damage (nephrolithiasis)." This is the correct choice.
Kidney stones and kidney damage can result from the deposition of urate crystals in the kidneys, which is a complication of gout.
These complications can lead to significant health issues and should be prioritized in discussions with the client.
Correct Answer is C
Explanation
"Gout is typically treated with antibiotics." This statement is incorrect.
Gout is not caused by bacteria, so antibiotics are not the primary treatment.
Antibiotics are used to treat bacterial infections, not gout.
Choice B rationale:
"Surgical intervention is necessary to remove uric acid crystals." Surgical intervention is not the primary treatment for gout.
Medications and lifestyle modifications are the mainstays of gout management.
Surgery may be considered in rare cases with severe joint damage or when other treatments are ineffective, but it is not the first-line approach.
Choice D rationale:
"Physical therapy is the primary treatment for g gout." Physical therapy can be a helpful adjunctive therapy for gout patients, especially in managing joint function and mobility, but it is not the primary treatment.
Medications to lower uric acid levels and manage pain are the cornerstone of gout treatment.
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