A nurse is teaching a client who has gout about appropriate food choices related to dietary needs. Which of the following choices by the client demonstrates an understanding of the teaching?
“I will eat more tuna.”
“I will eat more red meat.”
“I will eat blueberries every morning.”
“I will eat bananas for a snack.”
The Correct Answer is C
Choice A reason: Eating more tuna is not an appropriate food choice for a client who has gout because it is high in purines, which are substances that break down into uric acid in the body. Uric acid can form crystals in the joints and cause inflammation and pain, which are symptoms of gout. Tuna should be limited or avoided by clients who have gout.
Choice B reason: Eating more red meat is not an appropriate food choice for a client who has gout because it is high in purines, which are substances that break down into uric acid in the body. Uric acid can form crystals in the joints and cause inflammation and pain, which are symptoms of gout. Red meat should be limited or avoided by clients who have gout.
Choice C reason: Eating blueberries every morning is an appropriate food choice for a client who has gout because they are low in purines and high in antioxidants, which are substances that protect the cells from damage caused by free radicals. Antioxidants can help reduce inflammation and pain, which are symptoms of gout. Blueberries also provide vitamin C, fiber, and water for the client.
Choice D reason: Eating bananas for a snack is not an appropriate food choice for a client who has gout because they are high in fructose, which is a type of sugar that can increase uric acid levels in the blood. Fructose can worsen gout attacks by triggering inflammation and pain in the joints. Bananas should be limited or avoided by clients who have gout.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Soaking fruits in water before peeling them is not a good practice for retaining nutrients because it can cause water-soluble vitamins, such as vitamin C and B-complex vitamins, to leach out into the water. It is better to wash fruits briefly under running water and peel them as thinly as possible.
Choice B reason: Cooking vegetables for the week and reheating them at each meal is not a good practice for retaining nutrients because it can cause nutrient losses due to exposure to heat, light, air, and water. It is better to cook vegetables as close to the time of consumption as possible and use minimal water and cooking time.
Choice C reason: Boiling vegetables on the stove until they are soft is not a good practice for retaining nutrients because it can cause significant nutrient losses due to high temperature and long cooking time. It is better to steam, microwave, or stir-fry vegetables until they are crisp-tender and retain their color and texture.
Choice D reason: Keeping ripe fruits refrigerated until eating them is a good practice for retaining nutrients because it can slow down the ripening process and prevent spoilage. Refrigeration can preserve the freshness, flavor, and nutritional value of fruits. However, some fruits, such as bananas, tomatoes, and avocados, should not be refrigerated because they can lose their quality and taste.
Correct Answer is B
Explanation
Choice A reason: Dry eyes are not caused by vitamin D deficiency, but by other factors such as aging, medication, environmental conditions, or eye diseases. Vitamin D does not have a direct role in eye health or function.
Choice B reason: Fractures are caused by vitamin D deficiency, as vitamin D helps the body absorb calcium, which is essential for bone health and strength. Vitamin D deficiency can lead to osteoporosis, a condition in which the bones become brittle and prone to breaking.
Choice C reason: Infection is not caused by vitamin D deficiency, but by other factors such as exposure to pathogens, weakened immune system, or poor hygiene. Vitamin D may have some role in modulating immune responses, but it is not a primary factor in preventing infection.
Choice D reason: Swelling is not caused by vitamin D deficiency, but by other factors such as injury, inflammation, fluid retention, or allergic reaction. Vitamin D does not have a direct role in regulating fluid balance or reducing inflammation.

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