A nurse is assessing a client who has a suspected diagnosis of Guillain-Barre syndrome (GBS). Which of the following questions should the nurse ask the client?
Are you taking a multivitamin?
Have you had a recent influenza infection?
Have you traveled overseas recently?
Do you have a history of chronic alcohol abuse?
The Correct Answer is B
Choice A reason: Asking about multivitamin intake is not directly relevant to GBS, as the syndrome is not known to be caused by vitamin deficiencies or related to nutritional status.
Choice B reason: A recent influenza infection is relevant because GBS is often preceded by an infection, such as a respiratory or gastrointestinal viral infection. The immune system's response to this infection may mistakenly attack peripheral nerves, leading to GBS.
Choice C reason: While travel history is important in assessing exposure to infectious diseases, it is less specific than asking about recent infections. GBS can occur after exposure to certain viruses or bacteria, which can be contracted without overseas travel.
Choice D reason: Chronic alcohol abuse is a risk factor for various neurological conditions, but it is not a typical precursor to GBS. The syndrome is more commonly associated with immune responses to infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A decreased neutrophil count is not typically associated with parasitic infections. Neutrophils are a type of white blood cell that responds to bacterial infections, so a decrease might be seen in viral infections or certain inflammatory conditions, but not specifically indicative of a parasitic infection.
Choice B reason: An elevated eosinophil count is often associated with parasitic infections, especially those involving tissue invasion. Eosinophils are white blood cells that play a crucial role in the immune response against parasitic infections. Normal eosinophil counts range from 0 to 500 cells per microliter of blood.
Choice C reason: An increased hemoglobin level is generally not related to the presence of a parasitic infection. Hemoglobin levels can be affected by various conditions, but they do not serve as a specific indicator for parasitic infections.
Choice D reason: An elevated platelet count can occur in various conditions, including inflammatory states and infections, but it is not a specific marker for parasitic infections. Platelets are components of blood that help with clotting and would not be used to differentiate between bacterial and parasitic infections.
Correct Answer is B
Explanation
Choice A reason: Asking about multivitamin intake is not directly relevant to GBS, as the syndrome is not known to be caused by vitamin deficiencies or related to nutritional status.
Choice B reason: A recent influenza infection is relevant because GBS is often preceded by an infection, such as a respiratory or gastrointestinal viral infection. The immune system's response to this infection may mistakenly attack peripheral nerves, leading to GBS.
Choice C reason: While travel history is important in assessing exposure to infectious diseases, it is less specific than asking about recent infections. GBS can occur after exposure to certain viruses or bacteria, which can be contracted without overseas travel.
Choice D reason: Chronic alcohol abuse is a risk factor for various neurological conditions, but it is not a typical precursor to GBS. The syndrome is more commonly associated with immune responses to infections.
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