(Select all that apply): A nurse is providing education to a client with gout about lifestyle modifications.
Which recommendations should the nurse include?
"Reduce your intake of red meat and seafood.”
"Increase your consumption of alcohol to stay hydrated.”
"Maintain a high-protein diet to support muscle health.”
"Consider losing weight if you are overweight.”
"Avoid fruits and vegetables rich in antioxidants.”
Correct Answer : A,D
Choice A rationale:
"Reduce your intake of red meat and seafood" is a correct recommendation.
These foods are high in purines, which can contribute to elevated uric acid levels and increase the risk of gout attacks.
Choice B rationale:
"Increase your consumption of alcohol to stay hydrated" is an incorrect recommendation.
Alcohol can contribute to dehydration and may exacerbate gout symptoms.
It is generally advisable for individuals with gout to limit or avoid alcohol consumption.
Choice C rationale:
"Maintain a high-protein diet to support muscle health" is an incorrect recommendation.
While protein is important for muscle health, high-protein diets, especially those rich in red meat, can be associated with increased purine intake, which may worsen gout symptoms.
Choice D rationale:
"Consider losing weight if you are overweight" is a correct recommendation.
Weight loss can help reduce the risk of gout and improve gout management, as obesity is a risk factor for gout.
Choice E rationale:
"Avoid fruits and vegetables rich in antioxidants" is an incorrect recommendation.
Fruits and vegetables rich in antioxidants are generally considered healthy and can be part of a balanced diet.
They are not associated with gout risk and can even have protective effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
"Chronic gouty arthritis." Chronic gouty arthritis is a potential complication of gout, but it is not the highest priority when discussing potential risks with the client.
Kidney stones and kidney damage (nephrolithiasis) are more concerning complications due to their impact on overall health.
Choice B rationale:
"Tophi formation in joints and soft tissues." Tophi formation is a complication of gout and can lead to joint deformities and limited mobility.
While it is important to address, kidney stones and kidney damage pose a more immediate and severe threat to the client's well-being.
Choice C rationale:
"Joint deformities and limited mobility." This is a valid concern, but kidney stones and kidney damage (nephrolithiasis) should be prioritized when discussing potential complications of gout because they can have more serious systemic consequences.
Choice D rationale:
"Kidney stones or kidney damage (nephrolithiasis)." This is the correct choice.
Kidney stones and kidney damage can result from the deposition of urate crystals in the kidneys, which is a complication of gout.
These complications can lead to significant health issues and should be prioritized in discussions with the client.
Correct Answer is B
Explanation
"Gout is caused by a bacterial infection in the joints." This statement is not accurate.
Gout is not caused by a bacterial infection.
Gout results from the accumulation of uric acid crystals in the joints, leading to inflammation and pain.
Choice C rationale:
"Gout occurs when there is too much calcium buildup in the joint spaces." This statement is incorrect.
Gout is primarily associated with the buildup of uric acid crystals, not calcium.
Calcium deposits in joints are more commonly seen in conditions like calcium pyrophosphate deposition disease (CPPD) or pseudogout.
Choice D rationale:
"Gout is primarily due to an autoimmune response targeting joint tissues." This statement is inaccurate.
Gout is not primarily an autoimmune disorder.
It is a metabolic disorder characterized by the deposition of uric acid crystals in joints, which triggers an inflammatory response.
Autoimmune disorders involve the immune system mistakenly attacking the body's own tissues, which is not the case in gout.
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