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 D
Explanation
D. In a client presenting with urinary symptoms and lower back pain, measuring the temperature and pulse rate is essential for assessing for signs of systemic infection, such as fever (elevated temperature) and tachycardia (elevated pulse rate). These vital signs can help determine the urgency of the situation and guide further assessment and management.
A. Palpating the right flank for tenderness may be appropriate to assess for signs of kidney involvement, such as in pyelonephritis. However, this intervention is not the first priority. Assessing for systemic signs of infection, such as fever, is more urgent.
B. Evaluating the urine for a strong odor may provide additional information about the student's symptoms, but it is not the first intervention priority.
C. Testing the urine for the presence of hematuria (blood in the urine) is an important diagnostic step in evaluating urinary symptoms, but it is not the first intervention priority. Hematuria may be present in various conditions, including UTIs, kidney stones, or other urinary tract disorders.
Correct Answer is C
Explanation
C. Cushing's syndrome often leads to central (truncal) obesity, characterized by fat accumulation around the abdomen and face, while the extremities may appear relatively thin due to muscle wasting. This distribution of fat and muscle wasting contributes to the characteristic "moon face" appearance seen in individuals with Cushing's syndrome.
A. Visible swelling of the neck with no pain is not typically associated with Cushing's syndrome. Swelling of the neck may be indicative of other conditions such as goiter or thyroid nodules.
B. Warm, soft, moist, salmon-colored skin is not typically associated with Cushing's syndrome. Instead, individuals with Cushing's syndrome may exhibit thin, fragile, and easily bruised skin due to the effects of cortisol on collagen synthesis and skin integrity.
D. Husky voice and hoarseness are not typically associated with Cushing's syndrome. These symptoms may be indicative of vocal cord dysfunction or other conditions affecting the larynx or vocal cords.
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