The nurse determines that teaching about gout has been effective ...

[daltonest1984]

The nurse determines that teaching about gout has been effective when the client makes which statements?
 
  Standard Text: Select all that apply.
  1. I should increase my fluid intake to 2 to 4 liters every day.
  2. I should avoid eating salmon, sardines, organ meats, alcohol, mushrooms, legumes, and oatmeal.
  3. I should notify my health care provider if my pain gets worse.
  4. I should weigh myself every day and notify my health care provider if I gain over 2 lbs in a day.
  5. I will expect to experience flank pain when taking this medication.

Question 2

When planning care for a client, the nurse will include interventions to address factors that predispose the client to developing gout, including:
 
  Standard Text: Select all that apply.
  1. taking a prescribed thiazide diuretic.
  2. taking aspirin every day.
  3. drinking four beers every night.
  4. receiving treatment for polycythemia.
  5. being diagnosed with heart failure.

[komodo7]

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: The client should be instructed to increase fluid intake to 24 L/day.
Rationale 2: These are foods that contain purine and should be avoided in the client with gout.
Rationale 3: Worsening pain could be an indication that the medication dosage needs to be adjusted and should be reported to the health care provider.
Rationale 4: The client should conduct daily weights and notify the health care provider about any weight gain of 2.2 lbs or more in a day.
Rationale 5: Flank pain could indicate kidney stones and should be reported immediately to the health care provider.
Global Rationale: The client should be instructed to increase fluid intake to 24 L/day. The foods listed contain purine and should be avoided in the client with gout. Worsening pain could be an indication that the medication dosage needs to be adjusted and should be reported to the health care provider. The client should conduct daily weights and notify the health care provider about any weight gain of 2.2 lbs or more in a day. Flank pain could indicate kidney stones and should be reported immediately to the health care provider.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Gout can be caused by thiazide diuretics.
Rationale 2: Gout can be caused by chronic aspirin use.
Rationale 3: Gout can be caused by alcohol ingested on a chronic basis.
Rationale 4: Polycythemia can cause secondary gout.
Rationale 5: Gout is not caused by heart failure.
Global Rationale: Gout can be caused by thiazide diuretics, chronic aspirin use, alcohol consumption and polycythemia. It is not related to heart failure.

[daltonest1984]

Both answers were spot on, thank you once again

[komodo7]

Great! Please up vote