A client with gout is concerned about the potential complications of the condition.
Which complication should the nurse prioritize when discussing potential risks with the client?
Chronic gouty arthritis.
Tophi formation in joints and soft tissues.
Joint deformities and limited mobility.
Kidney stones or kidney damage (nephrolithiasis).
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
"Reduce your intake of red meat and seafood" is a correct recommendation.
These foods are high in purines, which can contribute to elevated uric acid levels and increase the risk of gout attacks.
Choice B rationale:
"Increase your consumption of alcohol to stay hydrated" is an incorrect recommendation.
Alcohol can contribute to dehydration and may exacerbate gout symptoms.
It is generally advisable for individuals with gout to limit or avoid alcohol consumption.
Choice C rationale:
"Maintain a high-protein diet to support muscle health" is an incorrect recommendation.
While protein is important for muscle health, high-protein diets, especially those rich in red meat, can be associated with increased purine intake, which may worsen gout symptoms.
Choice D rationale:
"Consider losing weight if you are overweight" is a correct recommendation.
Weight loss can help reduce the risk of gout and improve gout management, as obesity is a risk factor for gout.
Choice E rationale:
"Avoid fruits and vegetables rich in antioxidants" is an incorrect recommendation.
Fruits and vegetables rich in antioxidants are generally considered healthy and can be part of a balanced diet.
They are not associated with gout risk and can even have protective effects.
Correct Answer is ["A","B"]
Explanation
Choice A rationale:
"Administering prescribed medications." This is a correct choice.
Gout management often involves the use of medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, and urate-lowering drugs, to alleviate symptoms and reduce uric acid levels.
Choice B rationale:
"Encouraging the patient to elevate the affected joint and apply ice packs." This is a correct choice.
Elevating the affected joint and applying ice packs can help reduce pain and inflammation during a gout attack.
These measures are part of symptomatic relief strategies for gout.
Choice C rationale:
"Promoting weight gain and sedentary lifestyle." This choice is incorrect.
Promoting weight gain and a sedentary lifestyle are not appropriate interventions for managing gout.
Gout is often associated with obesity and sedentary lifestyles, and the focus should be on weight management and encouraging physical activity rather than promoting weight gain and inactivity.
Choice D rationale:
"Assisting with joint immobilization if necessary." This choice is not generally recommended for managing gout.
While immobilization may be necessary in cases of severe pain or joint damage, it is not a primary nursing intervention for gout management.
Choice E rationale:
"Providing education on increasing purine intake." This choice is incorrect.
Increasing purine intake is not a suitable strategy for managing gout.
In fact, gout management typically involves reducing purine intake to lower uric acid levels and prevent gout attacks.
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