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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 D

Explanation

"Excessive alcohol consumption is unrelated to gout development." This statement is not entirely accurate.

Excessive alcohol consumption, especially of beer and spirits, has been associated with an increased risk of gout.

Alcohol can raise uric acid levels and contribute to gout development, although it is not the sole cause.

Choice B rationale:

"Low-purine diets are a significant risk factor for gout." This statement is incorrect.

Low-purine diets are actually recommended for individuals with gout because foods high in purines can lead to higher uric acid levels, which can trigger gout attacks.

Low-purine diets help reduce the risk of gout flares.

Choice C rationale:

"Obesity and hypertension have no association with gout." This statement is inaccurate.

Obesity and hypertension are indeed risk factors associated with gout.

Obesity can lead to increased uric acid production, and hypertension is associated with higher uric acid levels as well.

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 client with a history of gout asks the nurse about potential risk factors for the condition.What statement by the nurse correctly identifies a risk factor associated with gout?

Correct Answer is D

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

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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?

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

A client with gout is prescribed medications for pain and inflammation.What statement by the client indicates the need for further education about gout management?

(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.