The nurse includes in the teaching plan for a patient with gout the need to be alert for signs of:
1. kidney stones.
2. tophi.
3. visual disturbances.
4. facial lesions.
1
The threat of kidney stones is a lifelong problem for the gout sufferer. Tophi are sympto-matic of the disease and are not a complication. Facial lesions and visual disturbances are noncontributory.
PTS: 1 DIF: Cognitive Level: Analysis REF: 907
OBJ: 8 TOP: Gout Complications
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
# 18. The nurse would recognize that further nutritional teaching about a low-purine diet would be necessary when the patient with gout chooses:
1. pizza with anchovies.
2. seafood platter with scallops, mussels, and lobster.
3. chicken and salad.
4. tuna sandwich with potato chips.
2
Options 1, 3, and 4 have only one high- or moderate-purine containing food. Option 2 has two high- and one moderate-purine containing foods.
PTS: 1 DIF: Cognitive Level: Analysis REF: 908
OBJ: 8 TOP: Gout KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
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