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A nurse is evaluating a client’s understanding of a low-purine diet for gout management.

Which of the following food choices by the client indicates an understanding of the teaching?



Correct Answer: B

Grilled cheese sandwich with tomato soup. This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.

Some additional information for the response are:

• Choice A. Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.

• Choice C. Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.

• Choice D. Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.

• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products. It should also limit sugar, alcohol, and meat consumption.

Diet for Gout




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