A nurse is providing discharge education to a patient who recently experienced an acute gout attack. Which patient statement indicates they have understood the treatment plan?

I will limit my fluid intake to 1 liter per day.

I will take one aspirin every day.

I will strictly adhere to a high-purine diet.

I will restrict my alcohol consumption.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Limiting fluid intake to 1 liter per day is not recommended for patients who have experienced an acute gout attack. Adequate hydration is important for all individuals, especially those with gout, as it can help to prevent the formation of uric acid crystals.
Choice B rationale
Taking one aspirin every day is not typically recommended for gout patients. Aspirin can actually increase uric acid levels in the blood and potentially trigger a gout attack.
Choice C rationale
Adhering to a high-purine diet is not recommended for gout patients. Foods high in purines can increase uric acid levels in the blood, potentially triggering a gout attack.

Choice D rationale
Restricting alcohol consumption is a key part of managing gout. Alcohol, especially beer, can increase uric acid levels in the blood and trigger gout attacks.

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Correct Answer is A

Explanation

Choice A rationale

Rice is a safe food choice for a child diagnosed with celiac disease. Celiac disease is a chronic immune disorder triggered by the consumption of gluten, a protein naturally present in wheat, barley, and rye. When people with celiac disease eat foods with gluten, the immune system attacks the small intestine, causing inflammation and damage that affects digestion, absorption, and nutrition. Rice is naturally gluten-free and can be included in the diet of a person with celiac disease.
Choice B rationale
Rye is not a safe food choice for a child diagnosed with celiac disease. Rye contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.
Choice C rationale
Wheat is not a safe food choice for a child diagnosed with celiac disease. Wheat contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.
Choice D rationale
Barley is not a safe food choice for a child diagnosed with celiac disease. Barley contains gluten, which triggers an immune response in people with celiac disease. This immune response can cause damage to the small intestine and lead to various health problems.

A. Fecal contamination of food or water B. Sexual intercourse C. Kissing mouth-to-mouth D. Contact with infected blood .

Correct Answer is A

Explanation

Choice A rationale
Hepatitis A is primarily transmitted through fecal contamination of food or water. This can occur when an infected person does not wash their hands properly after going to the bathroom and then touches food or other objects that others then put in their mouths.
Choice B rationale
While sexual intercourse can potentially transmit Hepatitis A, it is not the primary mode of transmission. The risk is higher if the sexual activity involves oral-anal contact.
Choice C rationale
Kissing mouth-to-mouth is not typically a primary mode of Hepatitis A transmission unless fecal particles are somehow involved.
Choice D rationale
Contact with infected blood is not the primary mode of Hepatitis A transmission. Hepatitis A is primarily spread through the fecal-oral route, not through blood.

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A nurse is providing discharge education to a patient who recently experienced an acute gout attack. Which patient statement indicates they have understood the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a parent of a child diagnosed with celiac disease. Which of the following food choices should the nurse include in the teaching?

Correct Answer is A

Explanation

A patient diagnosed with Hepatitis A is concerned about the risk of transmission to other family members. What is the primary mode of Hepatitis A transmission that the nurse should mention in the response?

Correct Answer is A

Explanation

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