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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale:
"I will take the nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain" is a reasonable statement, as NSAIDs are often prescribed for pain relief during gout attacks.
However, it's important to note that NSAIDs should be taken as directed by the healthcare provider, and their use should be monitored due to potential side effects.
Choice B rationale:
"I'll make sure to use colchicine during acute attacks to reduce inflammation" is the correct choice.
Colchicine is an anti-inflammatory medication commonly used to treat gout during acute attacks.
Choice C rationale:
"I should avoid corticosteroids unless my doctor says they are necessary" is a reasonable statement.
Corticosteroids are typically reserved for cases of gout where other treatments are ineffective, and their use should be under medical supervision.
Choice D rationale:
"I will take allopurinol regularly to lower my uric acid levels" is a correct statement.
Allopurinol is a medication used to lower uric acid levels in individuals with gout, helping to prevent future attacks.
It is a part of long-term gout management.
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