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

Encourage the patient to consume a diet high in purines.

Administer diuretics to help eliminate excess uric acid.

Provide education on dietary modifications to reduce purine intake.

Instruct the patient to avoid hydration to prevent uric acid buildup.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

Choice A rationale:

"Acetaminophen" is the appropriate alternative for pain relief in a client with gout who is allergic to NSAIDs and cannot take corticosteroids.

Acetaminophen is a non-prescription pain reliever that can be used for pain management in gout and is not known to exacerbate gout symptoms.

Choice B rationale:

"Aspirin" is generally not recommended for gout pain relief because it may interfere with uric acid excretion and potentially worsen gout symptoms.

Choice C rationale:

"Ibuprofen" is an NSAID and may not be suitable for a client allergic to NSAIDs.

Choice D rationale:

"Naproxen" is also an NSAID and is not suitable for a client allergic to NSAIDs.

Questions

A. "Gout is typically treated with antibiotics.” B. "Surgical intervention is necessary to remove uric acid crystals.” C. "Medications to lower uric acid levels and manage pain are commonly used.” D. "Physical therapy is the primary treatment for gout.”

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with gout complains of excruciating joint pain.The client is allergic to NSAIDs and corticosteroids are contraindicated.Which medication would be an appropriate alternative for pain relief in this client?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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