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Patient’s Data

Exhibits

Select the 3 dietary choices that are not part of the recommended diet gout.

Shrimp

Sardines

Quinoa

Oranges

Oatmeal

Spinach

Liver

Answer and Explanation

Correct Answer : A,B,G

A. Shrimp is known to be high in purines and is generally not recommended for a gout-friendly diet

B. Sardines are high in purines, which can increase uric acid levels in the body and contribute to gout flare-ups. Foods high in purines should generally be limited in the diet of someone with gout.

G. Liver is very high in purines and can significantly elevate uric acid levels. Consumption of liver and other organ meats should be minimized or avoided by individuals with gout to help prevent gout attacks.

Other foods are low in purine and hence not contraindicated in clients with gouty arthritis.

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Correct Answer is D

Explanation

D. A high fiber diet is recommended for individuals with diverticulosis to help maintain bowel regularity and prevent constipation, which can contribute to diverticular symptoms and complications. Increasing fluid intake is also important to support the passage of fiber through the digestive tract and prevent dehydration. Adequate hydration is essential for softening stool and reducing the risk of fecal impaction or exacerbation of diverticular symptoms.
A. A soft diet is not typically recommended for diverticulosis, as it may lack adequate fiber and contribute to constipation. While milk and milk products are sources of calcium and protein, they do not provide the necessary fiber to promote bowel regularity and prevent diverticulosis- related complications.
B. Eating small, frequent meals and sitting up for a period after eating can help reduce symptoms of gastroesophageal reflux disease (GERD), but these measures are not specifically indicated for diverticulosis management. While maintaining an upright position after meals may help prevent GERD symptoms, it is not the most important diet instruction for diverticulosis.
C. A bland diet may be recommended for certain gastrointestinal conditions, but it is not typically indicated for diverticulosis. Avoiding spicy foods may help reduce symptoms in some individuals with gastrointestinal issues, but it is not the primary dietary intervention for managing diverticulosis.

A. Notify the healthcare provider of the client's medication history. B. Have the client sign the surgical and transfusion permits. C. Observe the heparin injections sites for signs of bruising. D. Ensure that the potential for bleeding is explained to the client.

Correct Answer is A

Explanation

A. The client is receiving heparin sodium, an anticoagulant medication, which increases the risk of bleeding during surgery, especially in combination with the open fracture and ongoing bleeding. The healthcare provider needs to be informed of the client's medication history to determine the appropriate management of anticoagulation therapy perioperatively.
B. While obtaining informed consent for surgery and potential blood transfusion is important, it is not the priority in this situation.
C. Monitoring the injection sites for signs of bruising is important for assessing for complications related to heparin administration, such as hematoma formation or bleeding. However, in the context of a client with an open fracture and moderate bleeding, the priority is to address the potential interaction between heparin therapy and the risk of bleeding from the fracture site.
D. While it is important to provide education to the client about the potential risks and complications associated with surgery, including bleeding, this is not the priority nursing action in this situation.

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Patient’s Data Exhibits Select the 3 dietary choices that are not part of the recommended diet gout.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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Patient Data Exhibits For each medication used to treat gout, choose the most likely therapeutic outcome and the teaching associated with the medication.

Patient’s Data

Exhibits

Select the 3 dietary choices that are not part of the recommended diet gout.