(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 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.
Correct Answer is C
Explanation
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.
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