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 B
Explanation
I will drink at least eight glasses of water every day.This statement indicates that the client understands the importance of hydration for breast milk production and the prevention of constipation.
Some possible explanations for the other choices are:
• Choice A is wrong because iron supplements are not necessary for breastfeeding mothers unless they have anemia.Iron supplements can also cause constipation and stomach upset in some women.
• Choice C is wrong because dairy products are not harmful for breastfeeding mothers or their infants, unless there is a history of allergy or intolerance.Dairy products can provide calcium, protein and vitamin D for the mother and the infant.
• Choice D is wrong because infants should not be given any solid foods before 6 months of age, according to the American Academy of Pediatrics.Introducing solids too early can interfere with breastfeeding, increase the risk of allergies and infections, and cause choking or aspiration.
Correct Answer is D
Explanation
The child has frequent temper tantrums.This is because temper tantrums are not a normal part of a 3-year-old child’s development and can indicate emotional or behavioral problems.According to the height and weight chart for children, a 3-year-old child should be able to do the following:
• Speak in three-word sentences
• Copy a circle with a crayon
• Ride a tricycle using pedals
Therefore, choices A, B and C are wrong because they are expected developmental milestones for a 3-year-old child.
A nurse should collect data from the child and the parents to determine the cause and frequency of the temper tantrums and provide appropriate interventions and referrals.
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