The nurse provides discharge teaching for a client to prevent a new attack of gout. Which statement by the client indicates that additional teaching is required?
a. "I will keep a food and symptom diary for a few weeks."
b. "If I get a headache, I will take Tylenol instead of aspirin."
c. "I hate to start limiting my fluid intake so much!"
d. "Citrus juices and milk may keep me from having kidney stones."
C
Nutritional therapy for gout is controversial; however, clients do need to increase their fluid in-take to prevent kidney stones. Certain foods may precipitate an acute attack, so clients should learn to determine which foods trigger their gout. Aspirin is well known to trigger gout attacks. Increasing the intake of alkaline ash foods such as citrus juices and milk might prevent the for-mation of kidney stones.
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