Patient’s Data
Select the 3 dietary choices that are not part of the recommended diet gout.
Shrimp
Sardines
Quinoa
Oranges
Oatmeal
Spinach
Liver
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Subjective data refers to the symptoms reported by the client while objective data refers to the information collected on assessment of the client. During asthmatic attack, the client reports of shortness of breath, audible wheezing, inability to speak in complete sentences and a feeling of nervousness.
The use of a reliever without relief during an asthmatic attack indicates the severity of the attack. This requires intervention including the introduction of inhaled corticosteroids to reduce airway inflammation and remodeling.
The recurrence of symptoms on exposure to exercise requires the need for further advise to avoid triggers and recurrence of symptoms.
Correct Answer is A
Explanation
A. Remaining upright following meals helps prevent gastric contents from refluxing into the esophagus by promoting gravity-assisted emptying of the stomach and reducing intra- abdominal pressure. This can help alleviate symptoms of GERD such as heartburn and regurgitation.
B. Wearing tight fitting clothes can contribute to increased pressure on the abdomen, which may worsen symptoms of GERD by further compressing the stomach and promoting reflux. While avoiding tight fitting clothes is important for minimizing discomfort, it is not as critical as remaining upright following meals in managing GERD symptoms.
C. Spicy foods can exacerbate symptoms of GERD in some individuals by irritating the esophagus and increasing gastric acid secretion. While minimizing intake of spicy foods is advisable for many people with GERD, it may not be as universally important as the instruction to remain upright following meals.
D. Quitting smoking is important for overall health and can help improve symptoms of GERD. However, while smoking cessation is beneficial, it may not directly address the immediate need to minimize symptoms following meals as the instruction to remain upright does.
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