How can a client who has gout and urolithiasis prevent future uric acid stones?

To prevent future uric acid stones, a client with gout and urolithiasis should focus on two key strategies: limiting their intake of foods high in purine and taking allopurinol as prescribed.

Limiting foods high in purine, such as red meats, organ meats, and certain fish, can help reduce the overall production of uric acid in the body. This is particularly important for individuals with gout, as excessive uric acid levels can lead to the formation of uric acid stones in the kidneys.

Allopurinol is a medication that reduces uric acid production. By taking it as prescribed, the client can effectively lower their uric acid levels, thereby decreasing the risk of stone formation.

Together, these two approaches—dietary modifications to limit purine intake and medication to control uric acid levels—are essential in managing and preventing the recurrence of uric acid stones in individuals susceptible to gout and urolithiasis.