The nurse is instructing a patient with gout on what foods to avoid. The nurse should include:

Aged cheese.
Chicken liver.
Sardines.
Spinach.
Wine.

Explanation

• Patients with gout should have a diet low in purines. High-purine foods include organ meats, seafood, alcoholic beverages, sardines, aged cheese, lentils, spinach, and cod.

• Purines are metabolized into uric acid, which crystallizes in the joints. This causes the local immune-mediated inflammatory reaction seen in gout.

• Chocolate is not high in purines.

Visit our website for other NCLEX topics now!