A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

Fresh garden salad with fried chicken

Baked chicken with broccoli and baked potato

A pizza with extra cheese and anchovies

A turkey burger with coleslaw and baked chips

Answer and Explanation

The Correct Answer is C

A. Fried chicken is not considered a high-purine food, though fried foods should be eaten in moderation for general health.

B. Baked chicken with broccoli and baked potato is a low-purine meal, suitable for managing gout.

C. Anchovies are high in purines, which can increase uric acid levels and trigger a gout attack. A low-purine diet should avoid foods high in purines, including organ meats, shellfish, and certain fish like anchovies.

D. Turkey burger with coleslaw and baked chips is also appropriate for a low-purine diet, as turkey is a lean meat and doesn't significantly elevate uric acid levels.

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Correct Answer is B

Explanation

A. Cold, pale feet are not a typical side effect of colchicine.

B. Diarrhea is a well-known side effect of colchicine, commonly used to treat acute gout flares. The nurse should monitor for gastrointestinal symptoms.

C. Menorrhagia (heavy menstrual bleeding) is not associated with colchicine.

D. Rash is not a common side effect of colchicine but can occur. The nurse should primarily monitor for gastrointestinal symptoms like diarrhea.

A. Swan-neck deformities of the fingers B. Swollen, painful knee joint with bony enlargement. C. Large painful, hot right great toe D. Hot red, swollen elbow joint

Correct Answer is B

Explanation

A. Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis.

B. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees.

C. A painful, hot right great toe suggests gout, not osteoarthritis.

D. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.

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A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client develops an inflamed. very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?

Correct Answer is B

Explanation

A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?

Correct Answer is B

Explanation

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