A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client which of the following beverages can trigger an attack?
Alcohol
Fruit juice
Milk
Coffee
The Correct Answer is A
Choice A reason: Alcohol can trigger a gout attack because it increases the production and decreases the excretion of uric acid, which is the substance that causes inflammation and pain in the joints. Alcohol also dehydrates the body, which can worsen the symptoms of gout.
Choice B reason: Fruit juice is not a beverage that can trigger a gout attack. Fruit juice contains natural sugars and antioxidants, which may have a beneficial effect on the uric acid levels and the inflammation in the body. However, fruit juice should be consumed in moderation, as excess sugar intake can lead to weight gain and other health problems.
Choice C reason: Milk is not a beverage that can trigger a gout attack. Milk contains protein and calcium, which may help lower the uric acid levels and the risk of gout. Milk also has antiinflammatory properties, which may reduce the pain and swelling in the joints.
Choice D reason: Coffee is not a beverage that can trigger a gout attack. Coffee contains caffeine and antioxidants, which may have a protective effect on the uric acid levels and the inflammation in the body. Coffee also has a diuretic effect, which may help flush out the excess uric acid from the kidneys.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Candidiasis is an opportunistic infection associated with AIDS. Candidiasis is a fungal infection caused by Candida species, which normally live in the mouth, throat, vagina, and intestines. In people with AIDS, the immune system is weakened and cannot control the growth of Candida, leading to oral thrush, esophagitis, vaginitis, or systemic candidiasis.
Choice B reason: Hodgkin's lymphoma is not an opportunistic infection associated with AIDS. Hodgkin's lymphoma is a type of cancer that affects the lymphatic system, which is part of the immune system. It is characterized by the presence of ReedSternberg cells, which are abnormal lymphocytes. The exact cause of Hodgkin's lymphoma is unknown, but it is not related to any specific infection.
Choice C reason: Pneumocystis jiroveci pneumonia is an opportunistic infection associated with AIDS. Pneumocystis jiroveci pneumonia is a fungal infection caused by Pneumocystis jiroveci, which normally lives in the lungs of healthy people without causing any symptoms. In people with AIDS, the immune system is weakened and cannot prevent the invasion of Pneumocystis jiroveci, leading to pneumonia, which is a serious and potentially fatal lung infection.
Choice D reason: Clostridium difficile is not an opportunistic infection associated with AIDS. Clostridium difficile is a bacterial infection caused by Clostridium difficile, which normally lives in the colon of healthy people without causing any problems. In some cases, the use of antibiotics can disrupt the normal balance of bacteria in the colon and allow Clostridium difficile to overgrow and produce toxins, leading to diarrhea, colitis, or pseudomembranous colitis. This infection can affect anyone, regardless of their HIV status.
Choice E reason: NonHodgkin's lymphoma is an opportunistic infection associated with AIDS. NonHodgkin's lymphoma is a type of cancer that affects the lymphatic system, which is part of the immune system. It is characterized by the presence of abnormal lymphocytes, which may be B cells, T cells, or natural killer cells. NonHodgkin's lymphoma is associated with several infections, such as EpsteinBarr virus, human herpesvirus 8, hepatitis C virus, and human Tcell leukemia virus, which may trigger the transformation of lymphocytes in people with AIDS.
Correct Answer is D
Explanation
Choice A reason: These drugs kill the virus is not true about antiretroviral drugs used to treat human immunodeficiency virus (HIV), because it is inaccurate and misleading. Antiretroviral drugs do not kill the virus, but rather block or interfere with the enzymes or proteins that the virus needs to replicate or integrate into the host cells. Antiretroviral drugs can reduce the viral load, which is the amount of virus in the blood, but they cannot eliminate the virus completely.
Choice B reason: Only certain licensed drugs are effective is not true about antiretroviral drugs used to treat human immunodeficiency virus (HIV), because it is vague and incomplete. Antiretroviral drugs are licensed and approved by the regulatory authorities, such as the Food and Drug Administration (FDA), based on their safety and efficacy. However, not all licensed drugs are equally effective for all people with HIV, as the virus can develop resistance or mutation to some drugs over time. Therefore, the choice and combination of antiretroviral drugs may vary depending on the individual's viral genotype, drug history, and drug interactions.
Choice C reason: A few missed doses per month are OK is not true about antiretroviral drugs used to treat human immunodeficiency virus (HIV), because it is incorrect and dangerous. Antiretroviral drugs require strict adherence and compliance, which means taking the drugs exactly as prescribed, without missing or skipping any doses. A few missed doses per month are not OK, as they can reduce the effectiveness of the drugs and increase the risk of viral resistance or mutation, which can lead to treatment failure or disease progression.
Choice D reason: These drugs inhibit viral replication is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV), because it describes the mechanism and outcome of the drugs. Antiretroviral drugs inhibit viral replication, which means they prevent or slow down the multiplication or reproduction of the virus. Antiretroviral drugs can inhibit viral replication by targeting different stages of the viral life cycle, such as reverse transcription, integration, or maturation. Antiretroviral drugs can improve the immune function and quality of life of people with HIV.
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