A nurse is evaluating a client’s understanding of a low-purine diet for gout management.
Which of the following food choices by the client indicates an understanding of the teaching?
Liver and onions with mashed potatoes
Grilled cheese sandwich with tomato soup
Roast beef with green beans and rice
Sardines on whole wheat crackers with cheese
The Correct Answer is B
Grilled cheese sandwich with tomato soup. This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.
Some additional information for the response are:
• Choice A. Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.
• Choice C. Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.
• Choice D. Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.
• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products. It should also limit sugar, alcohol, and meat consumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
All of these conditions would warrant a referral to specialized care for severe diseases or complications related to nutrition and feeding.
Choice A is wrong because phenylketonuria (PKU) in the infant is a genetic disorder that causes an amino acid called phenylalanine to build up in the body.This can lead to intellectual disability, seizures, and other neurological problems if not treated with a special diet that limits phenylalanine.
Choice B is wrong because gestational diabetes mellitus (GDM) in the mother is a condition where the mother has high blood sugar levels during pregnancy.This can increase the risk of complications for both the mother and the baby, such as preeclampsia, macrosomia, birth injuries, and neonatal hypoglycemia.
Choice C is wrong because cleft lip or palate in the infant is a birth defect where the upper lip or roof of the mouth does not form properly.This can affect the infant’s ability to feed, speak, and breathe, and may require surgery and other interventions.
Correct Answer is A
Explanation
Meat is a good source of zinc for infants who are six months old and exclusively breastfed.Zinc is a mineral that is important for immune function, wound healing, and the senses of smell and taste.Children 7 to 24 months need 3 mg of zinc each day.
Choice B is wrong because yogurt is not a good source of zinc for infants.Yogurt is a dairy product that contains some zinc, but not as much as meat.
Choice C is wrong because broccoli is not a good source of zinc for infants.Broccoli is a vegetable that contains very little zinc.
Choice D is wrong because mango is not a good source of zinc for infants.Mango is a fruit that contains almost no zinc.
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