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. Assessing the client's cognition may be appropriate if there are concerns about cognitive function, but in this scenario, the client's response indicates a coping mechanism for freezing episodes rather than cognitive impairment.
B. Confirming that the client's technique of pretending to step over a crack is an effective strategy acknowledges the client's self-initiated coping mechanism for freezing episodes, which can help promote independence in ambulation.
C. Assisting the client to a carpeted area may help reduce the risk of falls but does not directly address the freezing episode or the client's coping strategy.
D. Reorienting the client to the present location and circumstances is unnecessary as the client's response indicates a conscious coping strategy rather than confusion or disorientation.
Correct Answer is ["125"]
Explanation
Correct Answer: 125 mL/hr
Rationale:
To calculate the infusion rate in mL/hr, you can use the formula: (Total Volume in mL) / (Time in hours) = Rate in mL/hr. For 1 liter (which is 1000 mL) of lactated Ringers to be infused over 8 hours, the calculation would be 1000 mL / 8 hr = 125 mL/hr.
Therefore, the nurse should program the infusion pump to deliver 125 mL of fluid per hour.
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