A 71-year-old patient is manifesting signs and symptoms of gout. ...

[WWatsford]

A 71-year-old patient is manifesting signs and symptoms of gout. When assessing him for signs and symptoms of gout, the nurse should pay particular attention to
 
  a. dietary intake of foods high in cholesterol.
  b. mobility in the hip and knee joints.
  c. edema or discoloration of the great toe.
  d. a history of trauma or occupational injury.

Question 2

The nurse in the office advises a client with ongoing issues with constipation to keep a food journal. During a typical 24-hour period, the client has a bagel and coffee for breakfast, macaroni and cheese for lunch, and soup and salad for supper.
 
  What dietary changes should the nurse recommend to this client? A) Gradually increase the amount of fiber in the daily diet
  B) Eat several small meals each day
  C) Immediately increase the amount of fiber in the diet to 7 to 10 servings per day
  D) Increase the amount of soups and cheeses in the menu

[orangecrush]

Answer to Question 1

C
Tophi (calculi containing sodium urate deposits that develop in periarticular fibrous tissue, typically in patients with gout) result in inflammation of the joint; it is unclear why this occurs. Typically the big toes are involved, but other joints can also be affected. Particular attention should be paid to foods high in purines.

Answer to Question 2

A
Feedback:
Gradually increasing fiber in the daily diet is suggested to minimize any discomfort that could be caused by an immediate, substantial increase in fiber intake. Eating smaller meals is less likely to improve the bowel function.

[WWatsford]

Thank you

[orangecrush]

No problemo