A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

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
High fever in the early morning is not a typical finding in pulmonary tuberculosis. TB patients may experience low-grade fevers, but high fevers are less common and usually occur in the evening or at night.
Choice B rationale
Fatigue is a common symptom of pulmonary tuberculosis. TB is a chronic infectious disease that can cause prolonged periods of fatigue and weakness due to the body’s ongoing immune response to the infection.
Choice C rationale

Increased appetite is not a typical finding in pulmonary tuberculosis. TB patients often experience a loss of appetite and unintentional weight loss due to the systemic effects of the infection.
Choice D rationale
Night sweats are a classic symptom of pulmonary tuberculosis. TB patients often experience drenching night sweats as a result of the body’s immune response to the infection. This symptom, along with chronic cough and weight loss, is a key indicator of TB.