A nurse is reinforcing teaching to a newly licensed nurse about risk factors for subarachnoid hemorrhage (SAH). Which of the following should the nurse include in the teaching?
Marfan's syndrome
Alzheimer's disease
Parkinson's disease
Male sex
The Correct Answer is A
A. Marfan's syndrome: Marfan's syndrome is a genetic connective tissue disorder that affects the integrity and strength of blood vessels. Individuals with this condition are at increased risk for the development of cerebral aneurysms, which may rupture and lead to subarachnoid hemorrhage, making it an important vascular risk factor.
B. Alzheimer’s disease: Alzheimer’s disease involves progressive neurodegeneration and cognitive decline, but it does not directly increase the risk of bleeding in the subarachnoid space. Its pathology does not involve vascular abnormalities related to aneurysm formation.
C. Parkinson’s disease: Parkinson’s disease affects the motor control centers of the brain due to dopamine depletion, but it does not involve changes in cerebral blood vessels. Therefore, it is not linked to an increased risk of subarachnoid hemorrhage.
D. Male sex: Subarachnoid hemorrhage is slightly more common in females, particularly due to hormonal and vascular differences. Male sex is not a recognized independent risk factor for aneurysmal rupture or spontaneous SAH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ability to target and destroy CD4 lymphocytes: HIV targets and destroys CD4 lymphocytes, which are a key component of the immune system. This destruction weakens the immune system, making the individual more susceptible to opportunistic infections. This is a central feature of HIV's pathogenesis.
B. Conversion of the virus's RNA into DNA: The conversion of HIV's RNA into DNA occurs during replication, but this alone does not cause opportunistic infections. It is the destruction of CD4 cells that leads to the immune suppression and susceptibility to infections.
C. Having reverse transcriptase enzyme: Reverse transcriptase is an enzyme that helps HIV replicate its RNA into DNA. While essential for HIV replication, the presence of reverse transcriptase does not directly cause opportunistic infections; it is the result of the viral replication that weakens the immune system.
D. Containing only a single strand of genetic material: HIV contains single-stranded RNA as its genetic material. While this is true, the key factor in causing opportunistic infections is the virus’s ability to destroy CD4 cells, which weakens the immune system.
Correct Answer is D
Explanation
A. Headache: The headache phase involves throbbing or pulsating pain, usually on one side of the head, often accompanied by nausea, photophobia, or phonophobia. It occurs after the aura phase and does not typically include sensory disturbances like tingling or visual changes.
B. Prodrome: The prodrome occurs hours to days before the migraine and includes subtle symptoms such as mood changes, food cravings, neck stiffness, or increased urination. It does not include neurological symptoms like visual disturbances or tingling.
C. Postdrome: Also known as the postdrome or recovery phase, this follows the headache phase. Clients may feel fatigued, confused, or drained but do not typically report sensory symptoms like those seen in the aura phase.
D. Aura: The aura phase is characterized by neurological symptoms such as visual disturbances (e.g., blind spots or flashing lights) and sensory changes (e.g., facial tingling). These symptoms occur shortly before the onset of the headache and are classic indicators of this phase.
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