Question

The clinic nurse performs diet teaching for an older client with acute gout. The nurse should teach the client to limit the intake of which of the following?

1) Red meat and shellfish
2) Cottage cheese and ice cream
3) Fruit juices and milk
4) Fresh fruits and uncooked vegetables

Answer 1

The client with acute gout should limit the intake of red meat and shellfish since they contain high levels of purines, which contribute to uric acid buildup and exacerbate gout symptoms.

Step-by-step explanation:

The clinic nurse should teach the client with acute gout to limit the intake of red meat and shellfish. These foods are high in purines, which can increase uric acid levels in the blood and exacerbate gout symptoms. Reduction of foods containing purine-like compounds like tea, coffee, and chocolate are also advised in order to decrease the risk of developing kidney stones and gout. Dietary modifications, including a diet low in protein, nitrogen, and sodium, are preventive strategies that help in managing gout symptoms and in reducing the excretory load on the kidneys.