Exhibits
Select the 3 dietary choices that are not part of the recommended diet for a client with gout.
Garlic
Liver
Spinach
Oatmeal
Chicken
Shrimp
Lentil
Quinoa
Oranges
Sardines
Correct Answer : B,F,J
A. Garlic is generally considered safe for individuals with gout.
B. Organ meats like liver are very high in purines and should be avoided in a diet for managing gout.
C. Spinach contains moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions.
D. Oatmeal is generally considered safe for individuals with gout.
E. Chicken is generally considered safe for individuals with gout.
F. Seafood, particularly shellfish like shrimp, is also high in purines and generally recommended to be limited or avoided in a gout diet.
G. Lentils contain moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions.
H. Quinoa is generally considered safe for individuals with gout.
I. Oranges is generally considered safe for individuals with gout.
J. Small oily fish such as sardines are another source of high purines and are often advised against in the diet of someone managing gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Collecting the blood sample from a reddened and engorged fingertip may lead to inaccurate glucose readings and can cause discomfort to the client. Selecting another finger is a more appropriate action.
B. Selecting another finger ensures an accurate blood sample and minimizes discomfort to the client. It allows for a fresh puncture site that is not engorged, improving the accuracy of the glucose reading.
C. Applying pressure to the site may temporarily reduce engorgement but may not be sufficient to obtain an accurate blood sample. Selecting another finger is a more appropriate action.
D. Assessing radial pulse volume is not necessary in this situation, as the client's fingertip appearance does not indicate compromise of peripheral circulation.
Correct Answer is D
Explanation
A. Hemoglobin levels primarily indicate the oxygen-carrying capacity of the blood and are not typically affected in conditions associated with petechiae and ecchymosis.
B. White blood cell count may be elevated in response to infection but is not directly related to the presence of petechiae and ecchymosis.
C. Red blood cell count primarily reflects the oxygen-carrying capacity of the blood and is not typically affected in conditions associated with petechiae and ecchymosis.
D. Platelet count is crucial in assessing for thrombocytopenia, a condition characterized by low platelet levels, which can lead to increased bleeding and bruising, including petechiae and ecchymosis.
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