A patient diagnosed with gout is concerned that the small "lumps" on his ear and big toe will become lodged in his blood, resulting in a blood clot. What explanation by the nurse is the most accurate response to this patient?
1. "Clots will not develop if you take your anti-gout medicine."
2. "Unfortunately, this is a common complication associated with gout."
3. "You will need to talk with the physician during your next visit."
4. "These ‘lumps' do not cause clot development."
Correct Answer: 4
The deposits are known as tophi. They result from uric acid crystal buildup. They occur most often in locations with lower body temperature readings. They will not cause a clot. Medications prescribed to manage gout will reduce the amount of uric acid production or assist with its metabolism. The patient will need correct information concerning the tophi. Advising the patient to wait until a future visit to discuss the concern is not appropriate, as the patient is seeking information at the present time.
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