— 健康促進與維護 · EASY · MCQ —
護理師給予痛風病人出院指導。下列哪項指導正確？
A nurse is providing discharge instructions to a client with gout. Which instruction is accurate?
- AStop all physical activity to rest the joints停止所有體力活動以讓關節休息
- BIncrease fluid intake to 2-3 liters per day✓ 正解每日增加液體攝取量至2-3公升
- CEat a diet high in purine-rich foods攝取富含普林的食物
- DDrink alcohol daily to relax每日飲酒以放鬆
— Explanation · 中文詳解 —
痛風是尿酸鹽結晶沉積在關節引起的發炎反應。衛教重點在於「尿酸排泄」與「減少尿酸生成」。攝取大量水分（2-3公升/天）能增加尿量，協助腎臟排出過多的尿酸，預防結晶形成與腎結石。飲食上應嚴格限制高普林（Purine）食物（如紅肉、海鮮、內臟）及含酒精飲料。酒精（特別是啤酒）會增加尿酸合成並抑制尿酸排泄，應儘量避免，而非飲酒放鬆。
Clients with gout should increase fluid intake to 2-3 liters daily to help dilute and excrete uric acid through the kidneys. They must avoid alcohol and limit purine-rich foods to prevent increasing uric acid levels.