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    Ati Nur 275 Fundamentals Proctored Exam (Excelsior University)

    A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

    Explanation & Rationale

    Choice A reason: Fluid restriction is contraindicated in gout. Adequate hydration helps excrete uric acid and prevent crystal formation. Choice B reason: A high-purine diet exacerbates gout by increasing uric acid levels. Clients should avoid purine-rich foods. Choice C reason: Aspirin can interfere with uric acid excretion and may worsen gout symptoms. Choice D reason: Alcohol, especially beer and spirits, can increase uric acid production and reduce its excretion. Limiting alcohol supports gout management.

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