A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

Choice A reason: The nurse waiting 5 minutes between administering prescribed eye drops is a standard practice to allow each drop to be properly absorbed and avoid dilution of the medication. This intervention does not require any action from the charge nurse.

Choice B reason: Leaving the eye shield in place while the client sleeps helps protect the eye from potential injury or infection after surgery. This is a recommended practice and does not need intervention from the charge nurse.

Choice C reason: Instructing the client not to drive at night is a reasonable precautionary measure given the client's recent eye surgery and potential vision changes. This instruction does not warrant intervention from the charge nurse.

Choice D reason: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.

Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.

Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.

Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.

Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.