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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Bronze pigmentation is often associated with venous insufficiency rather than arterial compromise.

B. Compromised peripheral arterial circulation can lead to decreased blood flow, resulting in uneven or diminished hair distribution on the lower extremities due to lack of nourishment to hair follicles.

C. Lower leg edema is more commonly associated with venous insufficiency rather than arterial insufficiency.

D. A bounding peripheral pulse indicates increased arterial pressure or volume, which is not consistent with compromised arterial circulation, where pulses are typically weak or absent.

A. Obtain a keyboard designed to limit wrist flexion. B. Take a multivitamin that contains vitamin D daily. C. Keep both hands elevated during work breaks. D. Use a space heater to keep the workspace warm.

Correct Answer is D

Explanation

A. While obtaining a keyboard designed to limit wrist flexion may be beneficial for ergonomics, it does not specifically address the symptoms or management of Raynaud's syndrome.

B. Taking a multivitamin with vitamin D may not have a direct impact on Raynaud's syndrome and is generally unrelated to the specific concerns of this condition.

C. Keeping hands elevated during breaks does not effectively address the primary concern of temperature regulation that affects Raynaud's syndrome.

D. Using a space heater is a practical measure that can help keep the workspace warm, thereby reducing the likelihood of Raynaud's attacks, which are triggered by cold temperatures and stress.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of compromised peripheral arterial circulation of the lower extremity?

Correct Answer is B

Explanation

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

Correct Answer is D

Explanation

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An older adult client with cirrhosis of the liver and hepatic failure is placed on a low sodium diet and is receiving periodic albumin infusions. Which assessment finding indicates progress toward the desired effect of this treatment plan?

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.