Which of the following statements by a patient with gout indicate a correct understanding of discharge teaching? (Select all that apply.)
“I can stop taking my medication once the pain subsides."
“I will avoid foods high in purines like organ meats and shellfish."
“I should take my allopurinol during an acute flare.”
“I should increase my fluid intake daily."
"I will limit my alcohol consumption, especially beer."
Correct Answer : B,D,E
A. “I can stop taking my medication once the pain subsides.": Gout medications, particularly urate-lowering therapy like allopurinol, are taken long-term to prevent hyperuricemia and future flares. Stopping medication after pain resolves can lead to recurrence and complications.
B. “I will avoid foods high in purines like organ meats and shellfish.": High-purine foods increase uric acid production and can trigger gout attacks. Avoiding these foods helps manage uric acid levels and prevent flares.
C. “I should take my allopurinol during an acute flare.": Allopurinol is for chronic urate-lowering therapy and is typically not initiated during an acute flare, as it can worsen symptoms initially. Acute flares are treated with anti-inflammatory medications such as NSAIDs or colchicine.
D. “I should increase my fluid intake daily.": Adequate hydration promotes renal excretion of uric acid, reducing the risk of crystal formation and recurrent attacks. Encouraging fluid intake is a key non-pharmacologic intervention.
E. "I will limit my alcohol consumption, especially beer.": Alcohol, particularly beer and spirits, increases uric acid production and reduces excretion, contributing to gout flares. Limiting alcohol is an important preventive strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Symmetrical small joint involvement: Symmetrical involvement is more characteristic of rheumatoid arthritis rather than gout. Gout typically affects one joint at a time, most commonly the lower extremities. Symmetry is not a hallmark of an acute flare.
B. Gradual joint stiffness over months: Slow, progressive stiffness suggests chronic degenerative conditions such as osteoarthritis. Acute gout flares present suddenly rather than gradually.
C. Rapid onset of severe pain and erythema: Acute gout is characterized by sudden, intense pain, redness, swelling, and warmth in the affected joint. These features reflect urate crystal deposition and the inflammatory response, making this the defining presentation of an acute flare.
D. Muscle weakness and fatigue: These are nonspecific systemic symptoms and do not directly indicate a gout flare. They may be associated with chronic illness but are not diagnostic for acute joint inflammation in gout.
Correct Answer is ["33"]
Explanation
Calculation:
- Identify the total volume and infusion time
Total Volume: 50 mL
Infusion Time: 90 minutes → 1.5 hours
- Calculate the infusion rate
Infusion Rate (mL/hr) = Total Volume ÷ Time (hr)
Infusion Rate = 50 ÷ 1.5
Infusion Rate = 33.33 mL/hr
- Round to the nearest whole number
Infusion Rate = 33 mL/hr
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