A nurse is preparing dietary instructions for a client who has a past medical history of Gout.

Which dietary instructions are most important to include in the patient teaching?.

Liver and bacon.

Vegetables and Bananas.

Fruits and bacon.

Nuts and fish.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Liver and bacon are high in purines, which can exacerbate gout. Therefore, they should be avoided.
Choice B rationale:
Vegetables and bananas are low in purines and are therefore good choices for a patient with gout.
Choice C rationale:
Fruits are generally low in purines, but bacon is high in purines and should be avoided.
Choice D rationale:
Nuts are a good choice as they are low in purines, but fish can be high in purines and should be eaten in moderation.

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Correct Answer is C

Explanation

Choice A rationale:
Holding an object close to the body can help distribute the weight evenly and reduce strain on the joints, which is beneficial for someone with Rheumatoid arthritis.
Choice B rationale:
Using larger muscle groups like the arms and legs can help reduce the strain on smaller, more sensitive joints.
Choice C rationale:
Carrying a laundry basket with the tips of the fingers can put unnecessary strain on the finger joints, which can exacerbate symptoms of Rheumatoid arthritis.
Choice D rationale:
Bending at the knees, rather than the waist, can help protect the back and maintain balance when picking up an item from the floor.

A. Avoid a high veal diet. B. Avoid a high bacon diet. C. Increase alcohol intake. D. Avoid a high fish diet. E. Recommend a starvation diet.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.

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A nurse is preparing dietary instructions for a client who has a past medical history of Gout. Which dietary instructions are most important to include in the patient teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing dietary instructions for a client who has a past medical history of Gout.

Which dietary instructions are most important to include in the patient teaching?.