A client with chronic gout takes probenecid (Benemid) and comes to the clinic reporting frequent severe headaches and a new gout flare. The client is frustrated because the gout had been under good control
Which question by the nurse is most helpful? a. "What do you take for your headaches?"
b. "Do you know what triggers your gout?"
c. "Have you been following your diet?"
d. "Did you switch from wine to beer late-ly?"
A
The nurse needs to assess what has changed for this client. The new onset of headaches should prompt the nurse to question the client about pain medications because aspirin inactivates pro-benecid. Gout can have triggers, but the client probably knows them by now if it has been well controlled. Nutritional therapy for gout remains controversial. Excessive alcohol can trigger an episode, but beer does not contribute any more than wine.
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