Patient’s Data
Select the 3 dietary choices that are not part of the recommended diet gout.
Shrimp
Sardines
Quinoa
Oranges
Oatmeal
Spinach
Liver
Correct Answer : A,B,G
A. Shrimp is known to be high in purines and is generally not recommended for a gout-friendly diet
B. Sardines are high in purines, which can increase uric acid levels in the body and contribute to gout flare-ups. Foods high in purines should generally be limited in the diet of someone with gout.
G. Liver is very high in purines and can significantly elevate uric acid levels. Consumption of liver and other organ meats should be minimized or avoided by individuals with gout to help prevent gout attacks.
Other foods are low in purine and hence not contraindicated in clients with gouty arthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Weakened cough effort can lead to ineffective airway clearance and increase the risk of aspiration pneumonia, a common complication in ALS due to bulbar muscle involvement. Aspiration pneumonia is a serious and potentially life-threatening condition that requires immediate intervention
A This symptom can be distressing for the client and may impact their quality of life. While it should be addressed and managed, it does not pose an immediate threat to the client's physical health.
B Asymmetrical weakness is a hallmark feature of ALS, where muscle weakness typically begins in one region of the body and gradually spreads to other areas. While it signifies disease progression and may impact the client's mobility and function, it does not necessarily require immediate intervention.
C Anxiety is a common emotional response in clients with ALS, especially as the disease progresses and the client faces physical decline and uncertainty about the future. While it is important to address the client's emotional well-being and provide support, increasing anxiety does not usually warrant immediate intervention.
Correct Answer is A
Explanation
A. The client is receiving heparin sodium, an anticoagulant medication, which increases the risk of bleeding during surgery, especially in combination with the open fracture and ongoing bleeding. The healthcare provider needs to be informed of the client's medication history to determine the appropriate management of anticoagulation therapy perioperatively.
B. While obtaining informed consent for surgery and potential blood transfusion is important, it is not the priority in this situation.
C. Monitoring the injection sites for signs of bruising is important for assessing for complications related to heparin administration, such as hematoma formation or bleeding. However, in the context of a client with an open fracture and moderate bleeding, the priority is to address the potential interaction between heparin therapy and the risk of bleeding from the fracture site.
D. While it is important to provide education to the client about the potential risks and complications associated with surgery, including bleeding, this is not the priority nursing action in this situation.
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