Exhibits
The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks.
Select the 3 dietary choices that are not part of the recommended diet for a client with gout.
Spinach
Chicken
Lentils
Oranges
Shrimp
Liver
Garlic.
Sardines
Correct Answer : E,F,H
A. Spinach: Although it contains moderate purine levels, spinach is generally considered safe in moderation for people with gout.
B. Chicken: Lean meats, like chicken, contain moderate purines and are typically allowed in controlled portions.
C. Lentils: While lentils have some purine content, they are generally less likely to trigger gout attacks and can be included in a balanced diet.
D. Oranges: Oranges are low in purines and high in vitamin C, which may help reduce uric acid levels.
E. Shrimp: Seafood, particularly shellfish, is high in purines, which can increase uric acid levels and trigger gout attacks.
F. Liver: Organ meats, such as liver, are rich in purines and should be avoided by individuals with gout, as they can contribute to elevated uric acid levels.
G. Garlic: Garlic is low in purines and is safe for individuals with gout.
H. Sardines: Sardines are also high in purines, making them likely to exacerbate gout by increasing uric acid production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Joint pain is a common symptom of systemic lupus erythematosus (SLE) and, while it may indicate an exacerbation of the disease, it is not the most critical finding to report.
B. A low-grade fever can signify an infection or increased disease activity but is generally not as urgent as changes in renal function or systemic involvement.
C. Muscle atrophy is a concern over time but does not pose an immediate threat to the client’s health compared to acute changes in kidney function.
D. Hematuria is significant in SLE as it can indicate renal involvement, such as lupus nephritis, which can lead to severe complications. This finding requires prompt reporting and assessment to prevent further renal damage and manage potential complications effectively.
Correct Answer is C
Explanation
A. Oxycodone is an opioid analgesic used for moderate to severe pain management but is not typically the first-line medication in acute coronary syndrome scenarios.
B. Fentanyl is a potent opioid that may be used for severe pain; however, morphine is more commonly used in emergency situations for chest pain related to potential myocardial infarction.
C. Morphine is commonly used in emergency departments for the management of acute chest pain, particularly when associated with myocardial ischemia. It helps reduce pain and anxiety, lowers myocardial oxygen demand, and has vasodilatory effects that can alleviate the burden on the heart.
D. Hydromorphone is another opioid analgesic but is not usually the preferred choice for chest pain in the acute setting compared to morphine.
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