A client arrives with respiratory muscle weakness, difficulty swallowing and abdominal pain. Which of the following reported by the client's husband is relevant to the client's manifestations?
The client received an influenza vaccine 4 weeks ago
The client is an avid golfer
The client cans jams and preserves
The client has a history of diabetes
The Correct Answer is A
Choice A Rationale: The client receiving an influenza vaccine 4 weeks ago is relevant because Guillain-Barre syndrome can sometimes be triggered by infections or vaccinations, including influenza vaccines.
Choice B Rationale: The client's hobby of golfing is not directly related to the described symptoms.
Choice C Rationale: Canning jams and preserves is not directly related to the described symptoms.
Choice D Rationale: A history of diabetes, while important for the client's overall health, may not be directly related to the current manifestations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A Rationale: A weakened gag reflex is a potential complication of a cervical spinal cord injury and can lead to difficulties in swallowing and increased risk of aspiration.
Choice B Rationale: Hyperthermia can occur as a result of autonomic dysfunction associated with spinal cord injuries, especially when the injury is at a high cervical level.
Choice C Rationale: Absence of bowel sounds is not typically associated with cervical spinal cord injuries but may be seen in lower spinal cord injuries.
Choice D Rationale: Hypotension is a potential complication due to impaired autonomic regulation in cervical spinal cord injuries.
Choice E Rationale: Polyuria is not typically associated with cervical spinal cord injuries but may occur in cases of lower spinal cord injuries affecting bladder function.
Correct Answer is D
Explanation
Choice A Rationale: Leakage is not typically associated with upper motor neuron deficits related to a spinal cord injury.
Choice B Rationale: Anuria (absence of urine production) is not a common manifestation of upper motor neuron deficits in this context.
Choice C Rationale: A flaccid bladder and an inability to voluntarily void are more characteristic of lower motor neuron deficits. Upper motor neuron deficits often lead to spasticity and involuntary voiding.
Choice D Rationale: Spasticity and involuntary voiding are common manifestations of upper motor neuron deficits related to spinal cord injury. This is due to the loss of inhibitory control over reflexes, including the micturition reflex.
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