A client is receiving therapy for gout. Which information should the nurse provide?
1. "You should not drink alcohol."
2. "You should increase intake of fatty fish like salmon and sardines."
3. "Take a vitamin C supplement while on your medication for gout."
4. "Increase your fluid intake to 2 to 4 liters each day."
5. "If your joint pain does not improve, let us know."
Correct Answer: 1,4,5
Rationale 1: Limiting or eliminating alcohol consumption is standard treatment for gout.
Rationale 2: Salmon and sardines should be eliminated from the diet.
Rationale 3: Vitamin C may acidify the urine and lead to formation of uric acid stones.
Rationale 4: Increasing fluid intake increases uric acid excretion.
Rationale 5: The client should be taught to report worsening or continued inflammation or pain.
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