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?

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: While excessive alcohol consumption is a well known cause of liver cirrhosis, it is not typically associated with biliary cirrhosis1.

Choice B reason: Hepatotoxic medications can lead to liver damage, but they are not the primary cause of biliary cirrhosis1.

Choice C reason: Obstruction of the bile duct is a direct cause of biliary cirrhosis, as it can lead to bile accumulation and liver damage1.

Choice D reason: Hepatitis C can cause liver cirrhosis, but it is not a direct cause of biliary cirrhosis1

A. Physical therapy B. Serum cardiac enzyme levels C. MRI of the chest D. Low sodium diet

Correct Answer is C

Explanation

Choice A reason: Physical therapy may be prescribed postoperatively to aid in recovery, but it does not directly interfere with the function of a pacemaker.

Choice B reason: Checking serum cardiac enzyme levels is a common practice after heart surgery to assess for any damage to the heart muscle, which would not typically require clarification in the context of pacemaker insertion.

Choice C reason: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is Incompatible, due to the risk of the magnetic field affecting the device's operation.

Choice D reason: A low sodium diet may be recommended for patients with heart conditions to manage blood pressure and fluid retention, but it is not directly related to the care of a pacemaker.

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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?

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