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(Select all that apply): A nurse is providing care for a patient with gout.
Which nursing interventions are appropriate for managing gout? Select all that apply.

Administering prescribed medications.

Encouraging the patient to elevate the affected joint and apply ice packs.

Promoting weight gain and sedentary lifestyle.

Assisting with joint immobilization if necessary.

Providing education on increasing purine intake.

Answer and Explanation

Correct Answer : A,B

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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Correct Answer is B

Explanation

Choice A rationale:

The statement, "My joint pain has been gradually increasing over the past few months," is indicative of gout, but it is not a specific clinical manifestation.

Gout typically presents with sudden and severe joint pain during acute attacks.

Choice B rationale:

"I have noticed that my joint is swollen, red, and warm" is the correct choice.

These are classic clinical manifestations of gout during an acute attack.

The accumulation of uric acid crystals in the joint causes inflammation, leading to redness, warmth, and swelling.

Choice C rationale:

"I can move my affected joint without any limitations" is not consistent with gout.

Gout attacks often limit joint mobility due to pain and inflammation.

Choice D rationale:

"I have been experiencing hard lumps of uric acid crystals under my skin" describes tophi, which are a more advanced manifestation of gout.

While tophi can occur in some cases, they are not one of the initial clinical manifestations of gout.

A. "Avoid foods high in calcium.” B. "Avoid foods high in vitamin C.” C. "Avoid foods high in purines.” D. "Avoid foods high in fiber.”

Correct Answer is C

Explanation

Choice A rationale:

"Avoid foods high in calcium." This choice is not directly related to gout management.

Calcium is not a significant factor in the development or exacerbation of gout.

Therefore, there is no need to instruct the patient to avoid foods high in calcium as a primary dietary modification for gout.

Choice B rationale:

"Avoid foods high in vitamin C." While vitamin C can be associated with gout prevention due to its potential to lower uric acid levels, it is not a primary dietary modification for reducing purine intake.

Purines are the compounds primarily responsible for uric acid production, and avoiding foods high in purines is a more effective dietary strategy.

Choice C rationale:

"Avoid foods high in purines." This is the correct choice.

Purines are broken down into uric acid, and excess uric acid can lead to gout attacks.

Therefore, advising the patient to avoid foods high in purines is a key dietary recommendation for gout management.

Choice D rationale:

"Avoid foods high in fiber." Fiber is generally considered a healthy component of the diet and is not specifically related to gout management.

There is no need to instruct the patient to avoid foods high in fiber as part of dietary modifications for gout.

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(Select all that apply): A nurse is providing care for a patient with gout.Which nursing interventions are appropriate for managing gout? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with suspected gout.Which clinical manifestations should the nurse expect to find in this patient? .

Correct Answer is B

Explanation

A client with gout is receiving education on dietary modifications to reduce purine intake.The client asks the nurse for examples of foods to avoid.What should the nurse respond?

Correct Answer is C

Explanation

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(Select all that apply): A nurse is providing care for a patient with gout.
Which nursing interventions are appropriate for managing gout? Select all that apply.