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Exhibits

Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Garlic

Liver

Spinach

Oatmeal

Chicken

Shrimp

Lentil

Quinoa

Oranges

Sardines

Answer and Explanation

Correct Answer : B,F,J

A. Garlic is generally considered safe for individuals with gout.

B. Organ meats like liver are very high in purines and should be avoided in a diet for managing gout.

C. Spinach contains moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions.

D. Oatmeal is generally considered safe for individuals with gout.

E. Chicken is generally considered safe for individuals with gout.

F. Seafood, particularly shellfish like shrimp, is also high in purines and generally recommended to be limited or avoided in a gout diet.

G. Lentils contain moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions.

H. Quinoa is generally considered safe for individuals with gout.

I. Oranges is generally considered safe for individuals with gout.

J. Small oily fish such as sardines are another source of high purines and are often advised against in the diet of someone managing gout.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Methotrexate is commonly used in the treatment of rheumatoid arthritis (RA) to slow the progression of the disease by suppressing the immune system's response that causes inflammation. Aspirin may be used concurrently to provide symptomatic relief from pain and inflammation associated with RA.
B. While methotrexate may have side effects, its primary indication in RA treatment is to slow disease progression rather than to mitigate aspirin side effects.
C. Methotrexate and aspirin typically work through different mechanisms of action and are not typically used together to enhance each other's effectiveness.
D. Methotrexate and aspirin have different side effect profiles, but the primary reason for adding methotrexate is to slow the progression of RA rather than to replace aspirin due to side effects.

A. Restrict protein intake by limiting meats and other high protein foods. B. Increase intake of high fiber foods, such as bran cereal. C. Limit oral fluid intake to 500 mL/day. D. Increase intake of potassium rich foods such as bananas or cantaloupe.

Correct Answer is A

Explanation

A. Restricting protein intake is often recommended for clients with glomerulonephritis to reduce the workload on the kidneys and decrease proteinuria. This can help slow the progression of kidney damage.

B. Increasing intake of high-fiber foods may be beneficial for overall health but is not specifically indicated for glomerulonephritis management.

C. Limiting oral fluid intake to 500 mL/day is not appropriate for most clients and may lead to dehydration, which can exacerbate kidney dysfunction.

D. Increasing intake of potassium-rich foods may be contraindicated in some cases of glomerulonephritis, especially if the client has hyperkalemia. Dietary potassium restriction may be necessary depending on the client's lab values and kidney function.

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Exhibits Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?

Correct Answer is A

Explanation

The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?

Correct Answer is A

Explanation

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Exhibits

Select the 3 dietary choices that are not part of the recommended diet for a client with gout.