A nurse is reviewing the laboratory results of a client who has Guillain-Barré syndrome (GBS). Which of the following findings should the nurse report to the provider?

Choice A reason:

This is a correct answer. Elevating the head of the bed to 30 degrees helps to reduce ICP by facilitating venous drainage from the brain and decreasing cerebral edema.

Choice B reason:

This is an incorrect answer. Administering morphine sulfate for pain relief can increase ICP by causing vasodilation, respiratory depression, and increased carbon dioxide levels in the blood.

Choice C reason:

This is an incorrect answer. Encouraging coughing and deep breathing exercises can increase ICP by increasing intrathoracic pressure, which impedes venous drainage from the brain.

Choice D reason:

This is an incorrect answer. Performing passive range of motion exercises can increase ICP by stimulating the sympathetic nervous system, which increases blood pressure and cerebral blood flow.

Choice A reason:

This is an incorrect answer. Elevated CSF protein level is a common finding in clients who have GBS due to demyelination of peripheral nerves. It does not indicate infection or inflammation and does not require immediate intervention.

Choice B reason:

This is an incorrect answer. Decreased serum CK level is a normal finding in clients who have GBS because CK is released from damaged muscle tissue and GBS does not affect muscle cells directly.

Choice C reason:

This is a correct answer. Increased CSF WBC count indicates infection or inflammation in the central nervous system (CNS), which can be a complication of GBS or a sign of another condition such as meningitis or encephalitis. The nurse should report this finding to the provider for further evaluation and treatment.

Choice D reason:

This is an incorrect answer. Decreased serum sodium level can occur.