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

A. Clients with gout should increase fluid intake to at least 2–3 liters per day to help prevent uric acid crystal formation, not limit fluids. B. Aspirin can exacerbate gout by interfering with uric acid excretion and is generally avoided for gout pain. C. Avoiding purine-rich foods such as shellfish helps reduce uric acid levels and prevent gout attacks, making this correct. D. Exercising a joint during an acute gout attack can worsen pain and inflammation; rest is recommended during flares.