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 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.
Correct Answer is ["A","E"]
Explanation
Swelling and redness in the affected joint.
E. Increased urinary frequency and urgency.
Choice B rationale:
"Elevated levels of cholesterol in the blood." Elevated cholesterol levels are not indicative of gout.
Gout is primarily related to uric acid metabolism, and its clinical presentation includes joint symptoms like swelling and redness.
Choice C rationale:
"Severe abdominal pain and diarrhea." Severe abdominal pain and diarrhea are not typical signs of gout.
These symptoms are more suggestive of gastrointestinal issues rather than gout.
Choice D rationale:
"History of heart disease." While gout and heart disease can coexist, a history of heart disease is not a direct clinical finding indicative of gout.
Gout primarily affects the joints and is characterized by symptoms such as joint pain and swelling.
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