A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

Whole wheat pasta

Broccoli

Shellfish

Cranberries

Answer and Explanation

The Correct Answer is C

A. Whole wheat pasta is not typically high in purines.

B. Broccoli is a vegetable and generally not high in purines.

C. Shellfish, such as shrimp, crab, and lobster, are high in purines and should be avoided by individuals with gout.
D. Cranberries are fruits and are generally low in purines.

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Correct Answer is D

Explanation

A. Normal joint wear and tear typically do not result in bony enlargements, deviation of fingers, or hard, painless joints.
B. Osteomyelitis is a bone infection and would present with symptoms such as fever, localized pain, swelling, and redness over the affected bone, rather than bony enlargements of the joints.
C. Uric acid deposits are associated with conditions like gout and would typically manifest as acute attacks of severe pain, redness, and swelling in the affected joint, rather than the chronic, painless joint deformities seen in the scenario described.
D. Rheumatoid Arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of the synovium, leading to joint deformities, bony enlargements, and deviation of fingers. Joints affected by RA are typically hard, painless, and may exhibit ulnar deviation.

A. Without an elevated temperature, infection is not present. B. The client's symptoms are typical of an older adult client. C. An infection was present and has dissipated. D. An older adult can have an infection without a fever.

Correct Answer is D

Explanation

A. It is possible for an infection to be present without an elevated temperature, especially in older adults.
B. While some symptoms may be common in older adults, the presence of symptoms alone does not exclude the possibility of infection.
C. The resolution of infection cannot be determined solely based on the absence of fever.
D. Older adults may have a blunted fever response to infection, leading to a lack of fever despite the presence of other symptoms.

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A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, as pictured here. The joints are hard, painless, and some of the fingers are deviated from the midline. The nurse suspects these findings are a result of which of the following?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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