Question

A nurse is educating a patient with gout about a low-purine diet. Which food choice by the patient would indicate the need for further teaching?

1) Pizza with pepperoni
2) Seafood platter with scallops and mussels
3) Chicken salad with nuts
4) Tuna sandwich with potato chips

Answer 1

The food choice by a patient with gout that indicates the need for further teaching is the Seafood platter with scallops and mussels, as these are high in purines.

Step-by-step explanation:

When educating a patient with gout about a low-purine diet, the food choice that would indicate the need for further teaching is 2) Seafood platter with scallops and mussels. Seafood, especially shellfish like scallops and mussels, is high in purines, which can exacerbate gout symptoms by increasing uric acid levels in the blood. This can lead to the formation of uric acid crystals in the joints, resulting in pain and inflammation. In contrast, options 1), 3), and 4) are less likely to be problematic, though pizza with pepperoni is not ideal. Patients with gout should be encouraged to consume a diet low in purines to help manage their condition effectively.