A client comes to the clinic with a complaint of pain in the right great toe and is eventually diagnosed with gout. When planning teaching for this client, what management technique should the nurse emphasize?
Restrict weight-bearing on the right foot
Ensure fluid intake of at least 8 liters per day
Restrict consumption of foods high in purines
Take OTC calcium supplements consistently
The Correct Answer is C
Choice A rationale:
Restricting weight-bearing on the affected foot may provide some temporary relief from pain during an acute gout attack. However, it is not a long-term management strategy and can lead to muscle weakness and joint stiffness. It's important to gradually resume weight-bearing activities as tolerated to maintain joint function.
Choice B rationale:
Adequate fluid intake is essential for overall health and can help to flush out uric acid from the body. However, 8 liters per day is an excessive amount of fluid and could lead to electrolyte imbalances and other health problems. A more appropriate recommendation for a client with gout would be to aim for a fluid intake of 2-3 liters per day, unless otherwise advised by a healthcare provider.
Choice C rationale:
Restricting consumption of foods high in purines is a key management strategy for gout. Purines are substances found in certain foods that break down into uric acid in the body. High levels of uric acid can lead to the formation of urate crystals, which deposit in joints and cause inflammation and pain. Examples of foods high in purines include organ meats, red meat, seafood, and some types of beans and lentils.
Choice D rationale:
Calcium supplements have not been shown to be effective in the management of gout. In fact, some studies have suggested that calcium supplements may even increase the risk of gout attacks.
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Correct Answer is C
Explanation
Choice A rationale:
A high-purine diet is actually contraindicated in gout because purines are metabolized into uric acid, which can accumulate in the joints and trigger gout attacks. Therefore, a low-purine diet is recommended.
Choice B rationale:
Aspirin is not typically recommended for gout because it can interfere with the excretion of uric acid and potentially worsen the condition. While low-dose aspirin might be used for specific cardiovascular benefits in some gout patients, it's not a general treatment for gout itself.
Choice C rationale:Alcohol intake is a common trigger for gout attacks because it can increase uric acid levels in the blood. Therefore, limiting alcohol intake is an important part of managing gout.
Choice D rationale:
Fluid intake should be increased, not limited, in gout patients. This is because adequate hydration helps to flush uric acid out of the body and reduce the risk of gout attacks.
Correct Answer is A
Explanation
Anorexia nervosa is a condition characterized by severe weight loss and malnutrition. People with anorexia nervosa are often deficient in nutrients, including purines. Purines are broken down in the body to produce uric acid. When there is an excess of purines in the body, uric acid levels can rise, leading to gout.
Choice B is incorrect. While consuming foods low in purines can help to prevent gout attacks, it is not a risk factor for developing gout.
Choice C is incorrect. Children are not at risk for developing gout. Gout is more common in adults, especially men.
Choice D is incorrect. Ulcerative colitis is an inflammatory bowel disease that is not associated with an increased risk of gout.
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