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. Which explanation by the nurse is most accurate?
1. "Clots will not develop if you take your antigout 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 clots.".
4
Rationale 1: This statement is not accurate. The deposits do not form clots.
Rationale 2: Tophi are common complications associated with gout. However, this statement does not explain that the lumps will not cause blood clots.
Rationale 3: 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.
Rationale 4: The deposits are known as tophi. They result from uric acid crystal buildup and develop most often in locations with lower body temperature readings. They do not cause clots.
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