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    HESI RN Med surg proctored exam 2

    A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800 mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?

    Explanation & Rationale

    Choice A reason: Replacing dietary table salt with salt substitutes does not directly address gout management.Choice B reason:The correct answer is b) because avoiding the consumption of wine, beer, and coffee is important for clients with gout. These beverages can increase uric acid levels and trigger gout attacks.Choice C reason: Pain medication should be taken as needed for pain relief, not specifically after exercising joints.Choice D reason: Encouraging active range of motion is important but does not directly address the immediate dietary factors that can exacerbate gout.

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