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 A
Explanation
Choice A reason: Pain at rest is a common symptom of advanced PAD, indicating that blood flow is so reduced that the muscles are not receiving enough oxygen even when not active.
Choice B reason: Thin, brittle toenails can be a sign of PAD due to poor blood flow affecting the growth and health of the nails.
Choice C reason: Hanging legs, or dependent positioning, may temporarily relieve pain for PAD patients due to gravity assisted blood flow; however, it is not a finding but rather a coping mechanism.
Choice D reason: Cool extremities are expected in PAD because reduced blood flow decreases the warmth supplied to the tissues.
Correct Answer is A
Explanation
Choice A reason: This is correct because staying well hydrated can help prevent gout attacks and kidney stones, which can be a side effect of allopurinol.
Choice B reason: This is incorrect. Aspirin can interfere with allopurinol and may increase the risk of gout attacks; therefore, it is not recommended without consulting a healthcare provider.
Choice C reason: This is incorrect. Allopurinol does not need to be taken on an empty stomach; it can be taken with or without food.
Choice D reason: This is correct. Allopurinol should not be crushed or chewed; it should be swallowed whole.
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