A client has had recurrent kidney stones. Upon lab analysis of the client's urine, it is found that excessive purine intake is the underlying cause. Which of the following high-purine foods should the nurse instruct the client to avoid?
Milk
Liver
Spinach
Chocolate
The Correct Answer is B
A. Milk is low in purines and is not associated with an increase in uric acid levels or the formation of uric acid stones. In fact, dairy products like milk can be beneficial in a diet for managing kidney stones because they are low in purines and provide calcium, which may help prevent stone formation.
B. Liver is very high in purines. High-purine foods increase the levels of uric acid in the body, which can lead to the formation of uric acid stones in the kidneys. Therefore, clients with recurrent kidney stones due to excessive purine intake should avoid liver and other organ meats.
C. Spinach is considered to have a moderate level of purines. While it is not as high in purines as organ meats, it still contains a notable amount. However, in comparison to foods like liver, it is less of a concern for individuals who need to strictly limit purine intake.
D. Chocolate contains a moderate amount of purines, but it is not as high in purines as organ meats like liver. While it’s not completely free from purines, its purine content is generally lower compared to foods such as liver.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Calcium gluconate does not directly affect the elimination of potassium from the body or its excretion in the stool. It does not act on the kidneys or gastrointestinal tract to remove potassium. Its primary role is to stabilize the cardiac membrane.
B. Calcium gluconate stabilizes the cardiac membrane and reduces the risk of dysrhythmias associated with elevated serum potassium levels. Hyperkalemia can increase the risk of cardiac arrhythmias, and calcium gluconate helps to counteract these effects by protecting the heart muscle.
C. Calcium gluconate does not cause potassium to shift from the blood into the cells. The shift of potassium into cells is typically induced by other treatments such as insulin and glucose or beta- agonists. Calcium gluconate does not have this effect.
D. Calcium gluconate does not increase serum potassium levels. It primarily serves to protect the heart from the effects of high potassium levels. It does not have a direct effect on the potassium level itself but helps manage the consequences of hyperkalemia.
Correct Answer is D
Explanation
A. A prostate examination is typically performed for issues related to the prostate, such as benign prostatic hyperplasia or prostate cancer. It is not relevant to diagnosing or managing acute glomerulonephritis, which is related to kidney inflammation rather than prostate issues.
B. A blood glucose check is used to diagnose and manage diabetes. While diabetes can contribute to chronic kidney disease, it is not the primary test for diagnosing acute glomerulonephritis or identifying its most common cause.
C. Genetic testing is useful for diagnosing inherited conditions or genetic predispositions to diseases. However, acute glomerulonephritis is typically caused by an infection or an autoimmune reaction, and genetic testing is not the primary diagnostic tool for this condition.
D. Antistreptolysin-O (ASO) titers are tests used to detect antibodies produced in response to a streptococcal infection. Elevated ASO titers indicate a recent streptococcal infection, which is the most common cause of post-infectious acute glomerulonephritis.
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