Which response by the nurse is best when a patient with the Huntington gene asks at what age he can expect symptoms to start?
A) "If you are lucky, symptoms won't appear until after age 70."
B) "Some people with the Huntington gene never develop symptoms."
C) "Typically, symptoms can be detected as early as 10 years old."
D) "The age on onset of symptoms is variable, but generally between 35 to 44 years old."
D) "The age on onset of symptoms is variable, but generally between 35 to 44 years old."
Explanation: A) Onset of symptoms usually occurs at 35-44 years of age. Onset in people younger than 10 years or older than 70 years of age is rare. The nurse should also be objective and not imply that some patients are unlucky.
B) Onset of symptoms usually occurs at 35-44 years of age. Onset in people younger than 10 years or older than 70 years of age is rare. It is an autosomal dominant inherited disease in which a child of a parent with HD has a 50% chance of inheriting the gene mutation that causes the disease.
C) Onset of symptoms usually occurs at 35-44 years of age. Onset in people younger than 10 years or older than 70 years of age is rare.
D) Onset of symptoms usually occurs at 35-44 years of age. Onset in people younger than 10 years or older than 70 years of age is rare.
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A patient with a large thermal burn has been admitted to the burn intensive care unit. Because the leading cause of death in burned patients after the initial care period is infection, what is the nurse's priority action?
A) Ensure compliance with hand hygiene protocols by all health care team members. B) Limit visits of legal next of kin to very brief periods of time. C) Adhere to clean aseptic principles during wound care and dressing changes. D) Collect environmental cultures and wound cultures as scheduled.
The nurse is caring for an older patient who is nearing death and realizes that no professional clergy needs to be contacted. This patient is most likely a member of which faith?
A) Pentecostal B) Unitarianism C) Seventh-Day Adventists D) Church of Jesus Christ of Latter Day Saints
A patient reports to the nurse that he seems to be sleeping less at night but now regularly requires at least two short naps a day. He expresses a concern that "something is wrong." The nurse re-sponds that
a. "Aging alters our sleep patterns, so what you describe is really quite common." b. "Circadian sleep rhythms are controlled by the hypothalamus, which is affected by age." c. "Sleep patterns are affected by so many things; have you been under a lot of stress lately?" d. "Can you be more specific about what you think is wrong with your sleep pattern?"