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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing the pulses proximal to the fracture site is crucial for evaluating blood circulation to the affected limb and detecting potential complications such as compartment syndrome.
B. While monitoring pin sites for signs of infection is important, the priority is ensuring adequate circulation.
C. Administering pain medication is essential for comfort but does not address potential complications from skeletal traction.
D. Removing traction every shift is not advisable as it can compromise the alignment and healing of the fracture.
Correct Answer is B
Explanation
A. While having the client sign permits is important, it is not the priority action in this situation.
B. Notifying the healthcare provider about the client's current heparin therapy is critical, as it may influence the timing of surgery and the risk of excessive bleeding during and after the procedure.
C. While explaining the potential for bleeding is important, it should occur after ensuring the surgical team is aware of the heparin use.
D. Observing injection sites for bruising is relevant but does not address the immediate concern regarding heparin use and potential bleeding during surgery.
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