A patient is diagnosed with gout and asks the nurse how to prevent future flare-ups. Which statement by the patient indicates a correct understanding of dietary modifications for gout management?
“I should eat more red meats and seafood to help strengthen my joints."
“I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup."
“Taking aspirin regularly will help lower my risk of future gout attacks."
"Dairy products and high-fat foods will help prevent uric acid accumulation.”
The Correct Answer is B
A. "I should eat more red meats and seafood to help strengthen my joints." Red meats and seafood are high in purines, which increase uric acid levels and can trigger gout attacks. Patients should limit their intake of these foods.
B. "I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup." Staying hydrated helps flush excess uric acid from the body, and reducing alcohol consumption, especially beer and spirits, can help prevent flare-ups.
C. "Taking aspirin regularly will help lower my risk of future gout attacks." Aspirin can increase uric acid levels and may worsen gout symptoms. Patients should consult their provider before using aspirin regularly.
D. "Dairy products and high-fat foods will help prevent uric acid accumulation." While low-fat dairy products may help reduce uric acid levels, high-fat foods do not provide the same benefit and may contribute to weight gain, which is a risk factor for gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Handwashing is not necessary since impetigo is not contagious." Impetigo is highly contagious, and proper hand hygiene is essential to prevent its spread to others.
B. “I should apply Mupirocin (Bactroban) to the affected areas as prescribed." Mupirocin (Bactroban) is the standard topical antibiotic treatment for impetigo and should be applied as prescribed to reduce bacterial colonization and promote healing.
C. “I don't need to cover the lesions; they should be left open to the air." Covering the lesions can help prevent the spread of infection by minimizing contact with contaminated surfaces.
D. “I will let my child scratch the lesions to help them dry out faster." Scratching can worsen the infection, spread bacteria to other parts of the body, and lead to secondary infections.
Correct Answer is A
Explanation
A. Impetigo. Impetigo is a highly contagious bacterial skin infection, often caused by Staphylococcus aureus or Streptococcus pyogenes. It is characterized by honey-colored crusted lesions, especially around the mouth and extremities.
B. Scabies. Scabies presents as intensely itchy burrows or papules, often in the web spaces of the fingers, wrists, and axillae, rather than honey-colored crusts.
C. Herpes simplex virus. Herpes simplex virus (HSV) typically causes grouped vesicular lesions on an erythematous base, not crusted honey-colored lesions.
D. Tinea corporis. Tinea corporis (ringworm) presents as red, scaly, annular lesions with central clearing, not honey-colored crusts.
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