A patient is diagnosed with gout and asks the nurse how to prevent future flare-ups. Which statement by the patient indicates a correct understanding of dietary modifications for gout management?
“I should eat more red meats and seafood to help strengthen my joints."
“I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup."
“Taking aspirin regularly will help lower my risk of future gout attacks."
"Dairy products and high-fat foods will help prevent uric acid accumulation.”
The Correct Answer is B
A. "I should eat more red meats and seafood to help strengthen my joints." Red meats and seafood are high in purines, which increase uric acid levels and can trigger gout attacks. Patients should limit their intake of these foods.
B. "I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup." Staying hydrated helps flush excess uric acid from the body, and reducing alcohol consumption, especially beer and spirits, can help prevent flare-ups.
C. "Taking aspirin regularly will help lower my risk of future gout attacks." Aspirin can increase uric acid levels and may worsen gout symptoms. Patients should consult their provider before using aspirin regularly.
D. "Dairy products and high-fat foods will help prevent uric acid accumulation." While low-fat dairy products may help reduce uric acid levels, high-fat foods do not provide the same benefit and may contribute to weight gain, which is a risk factor for gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Allopurinol helps to lower uric acid levels and prevent future gout attacks." Allopurinol is a xanthine oxidase inhibitor that decreases uric acid production, helping to prevent future gout attacks rather than treating acute flares.
B. “I should take allopurinol during an acute gout attack to relieve pain immediately." Allopurinol is not used for acute gout attacks because it does not have immediate pain-relieving or anti-inflammatory effects. In fact, starting or increasing allopurinol during an acute attack may worsen symptoms.
C. “I should avoid drinking water while taking allopurinol to prevent kidney stones." Adequate hydration is essential while taking allopurinol to prevent uric acid kidney stones and to help eliminate excess uric acid from the body.
D. "Allopurinol works by reducing inflammation in my joints during a flare-up." Allopurinol does not have anti-inflammatory properties. It lowers uric acid levels over time, reducing the risk of future gout attacks but not treating acute inflammation.
Correct Answer is C
Explanation
A. Initiate fluid resuscitation. Fluid resuscitation is critical to prevent hypovolemic shock, but airway maintenance takes precedence, especially in burns involving the chest and upper body.
B. Insert an indwelling urinary catheter. Urinary catheter insertion is important for monitoring urine output and assessing renal function, but it is not the first priority.
C. Maintain the airway. Burns to the chest, neck, and face increase the risk of airway edema and compromise. The nurse should assess for signs of inhalation injury, hoarseness, or stridor and prepare for early intubation if necessary.
D. Medicate for pain. Pain management is important but is not the highest priority in the resuscitation phase when securing the airway and preventing hypoxia are more critical.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.