A client taking probenecid is advised to follow a low-purine diet. Which food item should the nurse tell the client to avoid?

Probenecid is a medication commonly used to treat gout, a condition that arises from the accumulation of uric acid in the body. A low-purine diet is often recommended for individuals with gout to help manage uric acid levels and reduce the risk of flares. Foods high in purines can contribute to an increase in uric acid production, making it essential to limit their intake.

Scallops are a type of shellfish known to contain high levels of purines. Consuming high-purine foods like scallops can lead to increased uric acid production, which can exacerbate gout symptoms and negate the effects of probenecid. Therefore, the recommendation to avoid scallops aligns with the dietary guidelines for someone who is taking probenecid.

In contrast, chicken, tofu, and legumes generally contain lower levels of purines compared to scallops, making them more suitable options for a low-purine diet. While moderation is still important, these foods pose less risk of raising uric acid levels significantly. Thus, the emphasis on avoiding scallops when counseling a client on a low-purine diet is appropriate for managing their condition effectively.