A nurse in a clinic is collecting data from a client who has cystitis. Which of the following findings should the nurse expect?

Choice A rationale
While alcohol consumption should generally be limited for individuals with gout, white wine is not necessarily better than red wine. Both types of wine contain purines, which can increase uric acid levels and trigger gout attacks. Therefore, the statement “I’ll drink white wine, not red” is not a correct indication of understanding a low-purine diet.
Choice B rationale
Fruits are generally low in purines and are recommended as part of a healthy diet for managing gout. Limiting fruit servings is not necessary and does not align with the principles of a low-purine diet. Therefore, the statement “I’ll limit the number of fruit servings I eat each day” is incorrect.
Choice C rationale
Red meat is high in purines and should be limited or avoided in a low-purine diet. Choosing red meat over poultry is not advisable for managing gout. Therefore, the statement “I’ll choose red meat instead of poultry” is incorrect.
Choice D rationale
Organ meats, such as liver, are very high in purines and should be eliminated from the diet to manage gout effectively. The statement “I’ll eliminate liver from my diet” correctly indicates an understanding of a low-purine diet.

Choice A rationale
Positioning the lower extremities so that they are touching is incorrect because it can lead to adduction of the hip, which increases the risk of dislocation. After a total hip arthroplasty, it is important to maintain proper alignment of the hip joint to prevent dislocation. Keeping the legs apart with the use of an abduction pillow or wedge is recommended to maintain proper alignment and reduce the risk of complications.
Choice B rationale

Ensuring that the client’s heels are touching the bed is incorrect because it can lead to pressure ulcers. After a total hip arthroplasty, it is important to prevent pressure on the heels by using pillows or heel protectors to elevate the heels off the bed. This helps to reduce the risk of pressure ulcers and promotes better circulation to the lower extremities.
Choice C rationale
Instructing the client to avoid movement of the affected leg is incorrect because early mobilization is important for recovery. After a total hip arthroplasty, patients are encouraged to perform gentle exercises and mobilize as soon as possible to prevent complications such as deep vein thrombosis (DVT) and to promote healing. Immobilization can lead to stiffness, muscle atrophy, and other complications.
Choice D rationale
Preventing hip flexion of the affected extremity is correct because excessive hip flexion can increase the risk of dislocation. After a total hip arthroplasty, it is important to avoid positions that involve hip flexion greater than 90 degrees, such as sitting in low chairs or bending forward excessively. Maintaining proper hip precautions helps to reduce the risk of dislocation and promotes a safe recovery.