A nurse is reinforcing teaching with a client who has a new diagnosis of gout. What should the nurse include in the teaching?

A. Limit fluids to 1500 mL per day: Adequate hydration is important in gout to help flush uric acid from the body and prevent crystal formation. Limiting fluids would increase the risk of gout attacks and is not recommended. B. Avoid consuming shellfish: Shellfish are high in purines, which metabolize into uric acid and can trigger or worsen gout attacks. Educating the client to limit high-purine foods, including shellfish, red meat, and organ meats, is an essential part of gout management. C. Aspirin is used in the treatment of gout pain: Aspirin can actually interfere with uric acid excretion and may worsen gout. Nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, or corticosteroids are preferred for managing acute gout pain. D. Increase exercises to the affected joint: During an acute gout flare, the affected joint is inflamed and painful. Exercising the joint can exacerbate pain and inflammation, so activity should be limited until the attack subsides.