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."
Correct Answer: 1,2,3,4
Rationale 1: The client should be instructed to increase fluid intake to 2–4 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 2–4 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.
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