A nurse is assisting a patient with gout in developing a plan for prevention.
Which nursing action is appropriate to promote prevention?

Advising the patient to limit alcohol consumption.

Encouraging a diet high in purine-rich foods.

Recommending a sedentary lifestyle.

Discouraging medication adherence for uric acid control.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"Advising the patient to limit alcohol consumption." This is the correct choice.

Alcohol consumption, particularly excessive consumption of beer and spirits, is associated with an increased risk of gout attacks.

Advising the patient to limit alcohol intake is an appropriate nursing action for gout prevention.

Choice B rationale:

"Encouraging a diet high in purine-rich foods." This choice is incorrect.

Encouraging a diet high in purine-rich foods is not appropriate for gout prevention.

High purine intake can lead to elevated uric acid levels, increasing the risk of gout attacks.

Choice C rationale:

"Recommending a sedentary lifestyle." This choice is incorrect.

Recommending a sedentary lifestyle is not appropriate for gout prevention.

Physical activity and maintaining a healthy weight are essential components of gout management and prevention.

Choice D rationale:

"Discouraging medication adherence for uric acid control." This choice is incorrect.

Discouraging medication adherence for uric acid control is counterproductive to gout prevention and management.

Medications prescribed to lower uric acid levels are a critical part of preventing gout attacks and complications.

Questions

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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.

A. Encourage the patient to consume a diet high in purines. B. Administer diuretics to help eliminate excess uric acid. C. Provide education on dietary modifications to reduce purine intake. D. Instruct the patient to avoid hydration to prevent uric acid buildup.

Correct Answer is C

Explanation

Choice A rationale:

"Encourage the patient to consume a diet high in purines." Encouraging a high-purine diet is not appropriate for a patient with gout.

High-purine foods can lead to increased uric acid levels, exacerbating gout symptoms.

The goal is to reduce purine intake.

Choice B rationale:

"Administer diuretics to help eliminate excess uric acid." While diuretics can increase uric acid levels in some cases, they are not typically administered as a primary treatment for gout.

In fact, certain diuretics can exacerbate gout symptoms by raising uric acid levels.

They are usually avoided or used cautiously in gout management.

Choice D rationale:

"Instruct the patient to avoid hydration to prevent uric acid buildup." Instructing the patient to avoid hydration is not appropriate and can be harmful.

Proper hydration is essential for gout management because it helps flush excess uric acid from the body.

Dehydration can lead to increased uric acid concentration in the blood and may worsen gout symptoms.

Questions

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A nurse is assisting a patient with gout in developing a plan for prevention.Which nursing action is appropriate to promote prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is planning care for a patient with gout.What nursing intervention should be included in the plan of care for this patient?

Correct Answer is C

Explanation

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A nurse is assisting a patient with gout in developing a plan for prevention.
Which nursing action is appropriate to promote prevention?