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    HESI RN Medical Surgical Proctored Exam
    Select All That Apply

    Exhibits Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

    Explanation & Rationale

    A. Garlic is generally considered safe for individuals with gout. B. Organ meats like liver are very high in purines and should be avoided in a diet for managing gout. C. Spinach contains moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions. D. Oatmeal is generally considered safe for individuals with gout. E. Chicken is generally considered safe for individuals with gout. F. Seafood, particularly shellfish like shrimp, is also high in purines and generally recommended to be limited or avoided in a gout diet. G. Lentils contain moderate amounts of purines, but newer research suggests that they may not increase the risk of gout attacks as much as once thought, and they provide other health benefits that can be weighed in dietary decisions. H. Quinoa is generally considered safe for individuals with gout. I. Oranges is generally considered safe for individuals with gout. J. Small oily fish such as sardines are another source of high purines and are often advised against in the diet of someone managing gout.

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