A client newly diagnosed with gout asks the nurse about the condition. Which statement should the nurse include in teaching for this client?

  1. “Aspirin can be used for mild pain when you have a flare-up.”
  2. “Avoid foods high in purines such as organ meats and shellfish.”
  3. “Lasix can help keep your urine flushed out to lessen the chance of an attack.”
  4. “A few glasses of wine every week will help you reduce stress, which can trigger an attack.”
Number 2 is correct.
Rationale: Foods high in purines should be avoided as they can trigger an exacerbation. All forms of aspirin and diuretics should be avoided. Excessive alcohol intake and fad “starvation” diets can trigger a flare-up.