A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe. The nurse observes the area of inflammation extends above the ankle area. The client receives prescriptions for colchicine and indomethacin. Which instruction should the nurse include in the discharge teaching?

Choice A reason: Supporting joints in an extended position while resting is not recommended for gout. Joints should be supported in a neutral or slightly flexed position to reduce strain and pain. Forcing extension can worsen discomfort and does not prevent uric acid crystal deposition. Choice B reason: Avoiding wine, beer, and coffee is correct because alcohol, especially beer and wine, increases uric acid production and decreases its excretion, worsening gout attacks. Coffee, while less harmful than alcohol, can also contribute to dehydration and exacerbate symptoms. Lifestyle modification through dietary restriction is essential in preventing recurrent gout flares. Choice C reason: Eating high protein foods is not recommended because purine-rich proteins (such as red meat, organ meats, and certain seafood) increase uric acid levels, triggering gout attacks. Instead, a balanced diet with limited purine intake is advised. Choice D reason: Limiting mobility equipment use is not appropriate. Clients with gout should maintain mobility as tolerated to prevent stiffness and muscle atrophy. Assistive devices may be necessary during acute flares to reduce pain and protect joints, so discouraging their use could hinder recovery.