A nurse is teaching a client who has a new diagnosis of gout about managing the disorder.
Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).
Avoid a high veal diet.
Avoid a high bacon diet.
Increase alcohol intake.
Avoid a high fish diet.
Recommend a starvation diet.
Correct Answer : A,B,D
Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.
Correct Answer is B
Explanation
Choice A rationale:
Symmetrical joint pain that is relieved with rest. Rheumatoid arthritis (RA) is characterized by symmetrical joint pain, but the pain is not typically relieved with rest.
Choice B rationale:
Symmetrical joint pain. This is a common symptom of RA, as the disease often affects the same joints on both sides of the body.
Choice C rationale:
Bouchard’s nodes in the middle joints. Bouchard’s nodes are more commonly associated with osteoarthritis, not RA123.
Choice D rationale:
Unilateral pain in the weight-bearing joints. RA typically causes symmetrical joint pain, not unilateral.
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