(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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
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.
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
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