Pharmacology Musculoskeletal Meds #2

Question

Which teaching would the nurse give to the client taking allopurinol for gouty arthritis? Select all that apply.

Answers

  1. Increase water
    • Rationale:

      This answer is correct because due to the risks for uric acid stones, increased water intake is strongly encouraged. This will help flush the body and kidneys, helping reduce the incidence of uric acid kidney stones.

  2. Eat chicken liver
    • Rationale:

      This answer is not correct because eating organ meats, such as chicken livers, should be avoided by clients with gouty arthritis. This will help reduce uric acid levels, therefore, the pain, inflammation, and potential uric acid stones associated with this condition.

  3. Restrict shellfish intake
    • Rationale:

      This answer is correct because the client with gouty arthritis is taught to decrease or eliminate red meat, organ meat, shellfish, and other high purine foods. These high purine foods will increase uric acid levels in the body, which is what causes more pain, inflammation, and potential uric acid stones.

  4. Avoid red meat
    • Rationale:

      This answer is correct because the client with gouty arthritis is taught to decrease or eliminate red meat and other high purine foods. Avoiding these foods will help decrease the uric acid and the symptoms of gouty arthritis.

  5. Limit eating mussels
    • Rationale:

      This answer is not correct because the client with gouty arthritis is taught to decrease or eliminate red meat, organ meat, shellfish, and other high purine foods. This is encouraged because high purine foods increase uric acid, which increases risk of pain, inflammation, and kidney stones.

Overview

Gouty arthritis is treated by decreasing uric acid levels in the body. This is done so by medications, such as allopurinol, and dietary changes.

Explanation

Learning Outcomes

Gouty arthritis is an inflammatory disorder that causes severe joint pain (typically in the great toe). The kidneys have an impaired ability to excrete uric acid out of the body, therefore hyperuricemia results. Uric crystals are formed and collect in the joints and produce uric acid kidney stones. Allopurinol is one medication used to inhibit uric acid formation in the body. The client is also taught dietary restrictions, which includes encouragement to decrease or eliminate red meat, organ meat, shellfish, and other high purine foods. Due to the risks for uric acid stones, increased water intake is strongly encouraged.

Test Taking Tip

On a test day, eat a normal meal before going to school. If the test is late in the morning, take a high-powered snack with you to eat 20 minutes before the examination. The brain works best when it has the glucose necessary for cellular function.

Video Rationale