A patient is diagnosed with gout and asks the nurse how to prevent future flare-ups. Which statement by the patient indicates a correct understanding of dietary modifications for gout management?
“I should eat more red meats and seafood to help strengthen my joints."
“I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup."
“Taking aspirin regularly will help lower my risk of future gout attacks."
"Dairy products and high-fat foods will help prevent uric acid accumulation.”
The Correct Answer is B
A. "I should eat more red meats and seafood to help strengthen my joints." Red meats and seafood are high in purines, which increase uric acid levels and can trigger gout attacks. Patients should limit their intake of these foods.
B. "I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup." Staying hydrated helps flush excess uric acid from the body, and reducing alcohol consumption, especially beer and spirits, can help prevent flare-ups.
C. "Taking aspirin regularly will help lower my risk of future gout attacks." Aspirin can increase uric acid levels and may worsen gout symptoms. Patients should consult their provider before using aspirin regularly.
D. "Dairy products and high-fat foods will help prevent uric acid accumulation." While low-fat dairy products may help reduce uric acid levels, high-fat foods do not provide the same benefit and may contribute to weight gain, which is a risk factor for gout.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased hip range of motion and absence of pain. A hip dislocation causes severe pain and reduced mobility, not increased range of motion. This option is incorrect.
B. Reports of hearing a "pop" at the time of pain onset. A "popping" sound often occurs when the prosthetic hip dislocates from the joint, making this a key symptom of hip dislocation.
C. Ability to bear weight on the affected leg without discomfort. A hip dislocation causes severe pain and functional impairment, making weight-bearing extremely difficult or impossible.
D. Symmetric leg length with normal alignment. A dislocated hip causes the affected leg to appear shortened and externally rotated, so symmetrical leg length would not be expected.
Correct Answer is B
Explanation
A. Weigh the patient daily to monitor fluid balance. Daily weights are useful for tracking fluid shifts but are not the priority in the acute phase of burn management.
B. Monitor urine output to ensure at least 30 mL/hr. Urine output is a key indicator of adequate fluid resuscitation. A minimum of 30 mL/hr ensures proper kidney perfusion and prevents hypovolemia or fluid overload.
C. Assess for signs of fluid deficit such as lung crackles and engorged neck veins. Crackles and neck vein distension indicate fluid overload, not deficit. While monitoring for overload is important, urine output is the best immediate indicator of effective fluid resuscitation.
D. Administer only colloid solutions within the first 8 hours post-burn. Crystalloids (e.g., Lactated Ringer’s) are the primary fluids used in the first 24 hours post-burn. Colloids are typically introduced later.
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