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NCLEX® Question of the Day: Gout Causes Education

Osmosis Team
Published on Nov 30, 2022. Updated on Nov 23, 2022.

Today's NCLEX-RN® Question of the day focuses on teaching techniques in educating a patient about gout. Can you figure it out?

The nurse is educating a client about the common causes of gout. Which client statement indicates additional teaching is necessary?

A. "I have to quit using chewing tobacco."

B. "I'm going to stop drinking beer with dinner."

C. "I plan to eat less red meat."

D. "I will try to walk around my neighborhood every evening."


Scroll down for the correct answer!

The correct answer to today's NCLEX-RN® Question is...

A. "I have to quit using chewing tobacco."

Rationale: Uric acid is the waste product of purines. Nicotine does not cause the overproduction of purines; therefore, chewing tobacco is not a lifestyle factor that causes gout. This statement indicates additional teaching is needed.

Major Takeaway

Lifestyle factors associated with the development of gout include diet, obesity, and alcohol use. Alcohol and certain foods, such as shellfish and red meat, cause an overproduction of purines. The byproduct of purines is uric acid, or urate, in the blood. When excess uric acid is not filtered out of the body by the kidneys fast enough, it results in the deposit of uric crystals in the joints.

Incorrect answer explanations

B. "I'm going to stop drinking beer with dinner."

Rationale: Alcohol consumption causes an overproduction of purines. Since uric acid is a natural waste product of purines, a client who consumes alcohol is at risk for gout. This statement indicates teaching was successful. 

C. "I plan to eat less red meat."

Rationale: Uric acid is the waste product of purines, and certain foods, such as shellfish and red meat, cause an overproduction of purines. This statement indicates teaching was successful.

D. "I will try to walk around my neighborhood every evening."

Rationale: Being overweight can lead to the development of gout. Therefore, walking every evening can promote health and well-being. This statement indicates teaching was successful. 

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