A patient with HIV complains to the home health nurse that he has been having watery diarrhea for the past 10 days. The nurse suspects toxoplasmosis. Which question is the most significant question for the nurse to ask?
Explanation & Rationale
A patient with HIV complains to the home health nurse that he has been having watery diarrhea for the past 10 days. The nurse suspects toxoplasmosis. Which question is the most significant question for the nurse to ask? "Have you been drinking alcohol?" "Do you have a cat?" "Have you been eating aged cheese or organ meats?" "Have you stopped taking your antiviral medication?" Correct answer: A. "Have you been drinking alcohol?": Alcohol can cause diarrhea but is unrelated to the transmission of the parasite Toxoplasma gondii. B. "Do you have a cat?": Toxoplasma gondii is a parasite often found in cat feces. HIV patients are highly susceptible to this infection, which can cause encephalitis or systemic issues. They are advised not to change litter boxes. C. "Have you been eating aged cheese or organ meats?": This is a question relevant for patients taking MAO inhibitors (to avoid tyramine), not for toxoplasmosis. D. "Have you stopped taking your antiviral medication?": While stopping HAART increases the risk of any infection, it is not a specific diagnostic question for toxoplasmosis specifically.