A nurse is evaluating a client’s understanding of a low-purine diet for gout management.
Which of the following food choices by the client indicates an understanding of the teaching?
Liver and onions with mashed potatoes
Grilled cheese sandwich with tomato soup
Roast beef with green beans and rice
Sardines on whole wheat crackers with cheese
The Correct Answer is B
Grilled cheese sandwich with tomato soup. This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.
Some additional information for the response are:
• Choice A. Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.
• Choice C. Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.
• Choice D. Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.
• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products. It should also limit sugar, alcohol, and meat consumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Breasts are soft without engorgement or leakage.This indicates that lactation suppression has been successful and the woman is not experiencing any discomfort or risk of infection from milk accumulation.
Breasts are firm with mild tenderness or leakage is wrong because it suggests that lactation is still occurring and the woman may need to express some milk for comfort or use other non-pharmacological methods to suppress it.
Breasts are hard with moderate pain or leakage is wrong because it indicates that the woman is suffering from breast engorgement, which can lead to mastitis if not treated.The woman may need pharmacological intervention to suppress lactation and relieve pain.
Breasts are swollen with severe pain or leakage is wrong because it shows that the woman has developed mastitis, which is a bacterial infection of the breast tissue that requires antibiotics and analgesics.The woman may also need to drain the infected breast by expressing milk or using a pump.
Normal ranges for lactation suppression vary depending on the individual and the method used.Generally, lactation suppression can take from a few days to a few weeks.
Correct Answer is A
Explanation
Hemoglobin level of 11 g/dL.This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.
Hemoglobin is the oxygen-carrying protein in red blood cells.
Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.
Calcium is important for bone health and muscle function.
Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.
Bilirubin is a waste product from the breakdown of red blood cells.
High levels can cause jaundice, a yellowing of the skin and eyes.
Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.
Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.
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