Ivan, a 39-year-old male, complains of swelling and excruciating pain in the left big toe. The client is diagnosed with gout. Before discharge, the nurse gives list of instructions on how to prevent acute gout episodes in the future. Which of the following instructions is not included in the list?
Explanation
Answer: C - The client is encouraged to consume citrus fruits. Citrus fruits and juices, milk, and dairy products increase the urinary pH, which prevents the buildup of uric acid crystals in the joints. Organ meats and wines are high in purine, and gout is caused by a disorder of purine metabolism. Increasing the fluid intake to 2,000 mL per day prevents stone formation. Starvation diets may cause an acute gout episode.
