A patient with rheumatoid arthritis comes to the clinic complaining of pain in the joint of his right great toe and is eventually diagnosed with gout. When planning teaching for this patient, what management technique should the nurse emphasize?
A) Take OTC calcium supplements consistently.
B) Restrict consumption of foods high in purines.
C) Ensure fluid intake of at least 4 liters per day.
D) Restrict weight-bearing on right foot.
Ans: B
Feedback:
Although severe dietary restriction is not necessary, the nurse should encourage the patient to restrict consumption of foods high in purines, especially organ meats. Calcium supplementation is not necessary and activity should be maintained as tolerated. Increased fluid intake is beneficial, but it is not necessary for the patient to consume more than 4 liters daily.
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