a nurse is teaching a client how to follow a low purine diet as prescribed by the provider for the management of gout which of the following statement

ATI RN

ATI Nutrition

1. A client is being taught how to follow a low-purine diet for gout management. Which statement indicates the client understands the teaching?

A. “I will need to limit the number of fruit servings each day.”
B. “I should avoid eating liver and other organ meats.”
C. “I can drink only white wine.”
D. “I should choose red meat instead of poultry.”

Correct answer: “I should avoid eating liver and other organ meats.”

Rationale: The correct answer is B. Organ meats like liver are high in purines, which can exacerbate gout symptoms. Choosing to avoid such foods is essential in following a low-purine diet. Option A is incorrect because fruits are generally low in purines and are not usually restricted in a low-purine diet. Option C is incorrect as white wine, just like other types of alcohol, should be consumed in moderation or avoided due to its purine content. Option D is incorrect because red meat, including beef and lamb, is high in purines and should be limited in a low-purine diet.

2. A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C? (Select the food that does not apply.)

A. Green pepper
B. Orange
C. Cabbage
D. Strawberries

Correct answer: E

Rationale: The correct answer is E: Milk. Milk is not a significant source of vitamin C. Choices A, B, C, and D are all good sources of vitamin C. Green pepper, orange, cabbage, and strawberries contain vitamin C and can be included in the diet to meet the body's need for this essential vitamin. Milk, on the other hand, is not known for its vitamin C content, so it does not apply as a source of this particular vitamin.

3. All of the following are electrolytes except:

A. chloride
B. potassium
C. sodium
D. iron

Correct answer: D

Rationale: Iron is not an electrolyte; electrolytes like sodium, potassium, and chloride help maintain fluid balance and are critical for nerve and muscle function.

4. Does alcohol contain energy and is therefore a nutrient?

A. True
B. False
C.
D.

Correct answer: B

Rationale: Alcohol does contain energy and provides calories, but it is not considered a nutrient. Nutrients are substances that contribute to essential bodily functions. While alcohol may have energy, it does not provide essential vitamins, minerals, or other nutrients necessary for the body's health. Additionally, excessive alcohol consumption can have harmful effects on the body, further supporting why alcohol is not classified as a nutrient.