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Exhibits

The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks.

Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Spinach

Chicken

Lentils

Oranges

Shrimp

Liver

Garlic.

Sardines

Answer and Explanation

Correct Answer : E,F,H

A. Spinach: Although it contains moderate purine levels, spinach is generally considered safe in moderation for people with gout.

B. Chicken: Lean meats, like chicken, contain moderate purines and are typically allowed in controlled portions.

C. Lentils: While lentils have some purine content, they are generally less likely to trigger gout attacks and can be included in a balanced diet.

D. Oranges: Oranges are low in purines and high in vitamin C, which may help reduce uric acid levels.

E. Shrimp: Seafood, particularly shellfish, is high in purines, which can increase uric acid levels and trigger gout attacks.

F. Liver: Organ meats, such as liver, are rich in purines and should be avoided by individuals with gout, as they can contribute to elevated uric acid levels.

G. Garlic: Garlic is low in purines and is safe for individuals with gout.

H. Sardines: Sardines are also high in purines, making them likely to exacerbate gout by increasing uric acid production.

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Correct Answer is C

Explanation

A. While sipping fluids with meals can help prevent discomfort, it is generally recommended to avoid drinking fluids during meals to minimize the risk of overfilling the stomach.

B. Reducing intake of fatty foods is important, but it is not as critical as managing portion sizes and meal frequency after gastric bypass surgery.

C. Eating small frequent meals is crucial after gastric bypass surgery because it helps manage the reduced stomach capacity and promotes better nutrient absorption while preventing dumping syndrome and discomfort.

D. Chewing slowly and thoroughly is a good practice to aid digestion, but it is not as essential as the need for portion control and meal frequency following the surgery.

A. Visible swelling of the neck, with no pain. B. Warm, soft, moist, salmon-colored skin. C. Husky voice and troubled by hoarseness. D. Central type obesity, with thin extremities.

Correct Answer is D

Explanation

A. Visible swelling of the neck may indicate other conditions, such as thyroid issues, but it is not a characteristic finding of Cushing's syndrome.

B. Warm, soft, moist, salmon-colored skin is more indicative of hyperthyroidism rather than Cushing's syndrome, which typically presents with thin, fragile skin.

C. A husky voice and hoarseness can occur due to various reasons, but they are not classic symptoms of Cushing's syndrome.

D. Central type obesity, characterized by a rounded face and thin extremities, is a hallmark feature of Cushing's syndrome, caused by excessive cortisol levels leading to fat redistribution.

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Exhibits The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks. Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?

Correct Answer is C

Explanation

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Correct Answer is D

Explanation

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Exhibits

The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks.

Select the 3 dietary choices that are not part of the recommended diet for a client with gout.