A patient is distressed to learn that a sibling is diagnosed with both neurologic and cognitive manifestations of Huntington disease. When the patient asks the nurse how to determine the incidence of the disease, which answer is most appropriate?

"All family members are now at risk for the disease."

"Only your children need to be tested for a genetic connection."

"If you are not diagnosed by age 20, you are considered safe."

"You definitely need to have genetic testing for the disease."

Answer and Explanation

The Correct Answer is A

A. Huntington disease is an autosomal dominant genetic disorder, meaning that if one parent has the gene, each child has a 50% chance of inheriting it. Therefore, all family members are at risk for the disease.

B. While genetic testing may be relevant for the patient’s children, it is not limited only to them. The patient and other family members are also at risk and may choose to be tested.

C. Huntington disease typically manifests between ages 30 and 50, and there is no age cutoff for determining risk. Early diagnosis may occur, but not being diagnosed by age 20 does not rule out the disease.

D. While genetic testing can confirm the presence of the gene, it is not the only way to determine risk. Family history and clinical symptoms are also key factors in understanding the risk for Huntington disease.

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Correct Answer is ["A","B","E"]

Explanation

A. Vasoconstrictors (Imitrex), such as sumatriptan, are commonly used to treat the headache stage of a migraine by constricting blood vessels, which helps alleviate the pain.

B. A dark, quiet environment is beneficial for migraine sufferers as bright lights and loud noises can exacerbate symptoms. Resting in a calm environment can help reduce discomfort.

C. While teaching relaxation is helpful for migraine prevention, it may not be effective in the acute phase of the headache. Relaxation techniques are more useful in managing triggers and reducing frequency.

D. Exercise is generally not recommended during the headache stage of a migraine, as it can worsen the pain. Light activity may help during the prodromal phase, but not during the headache itself.

E. Analgesics (NSAIDs) such as ibuprofen or naproxen are often used to relieve the pain during the headache stage of a migraine. They can help reduce inflammation and discomfort.

F. Teaching stress reduction is beneficial for preventing migraines but is not typically helpful during the headache stage itself. Stress management is more useful in the long term.

A. Radiating pain down the leg B. Headache C. Difficulty breathing D. Blurred vision

Correct Answer is A

Explanation

A. A lumbar herniated disc commonly causes radiating pain down the leg, known as sciatica. This occurs when the herniated disc compresses a nerve root, often causing pain, numbness, tingling, or weakness that radiates down the leg.

B. Headache is not a typical symptom of a lumbar herniated disc. Headaches are generally associated with conditions affecting the head or neck, not the lower back.

C. Difficulty breathing is not associated with a lumbar herniated disc. Breathing problems are typically related to respiratory or cardiac conditions, not issues with the spine.

D. Blurred vision is not a symptom of a lumbar herniated disc. Vision changes are more often related to eye or neurological issues affecting the brain, not the lower back.

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A patient is distressed to learn that a sibling is diagnosed with both neurologic and cognitive manifestations of Huntington disease. When the patient asks the nurse how to determine the incidence of the disease, which answer is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a client is in the headache stage of a migraine headache, which of the following may help the person cope with this stage? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

Which of the following is a common sign or symptom of a lumbar herniated disc?

Correct Answer is A

Explanation

A client with a primary brain tumor is to receive radiation after undergoing surgery to remove the tumor. The nurse knows that they may not receive chemotherapy because of the following reason.

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What infection control precaution is a client diagnosed with bacterial meningitis instituted?

A patient is distressed to learn that a sibling is diagnosed with both neurologic and cognitive manifestations of Huntington disease. When the patient asks the nurse how to determine the incidence of the disease, which answer is most appropriate?

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