When caring for a patient with Guillain-Barré Syndrome, which of the following is the most critical assessment the nurse should prioritize?
Assessing respiratory function
Monitoring blood glucose levels
Checking for skin breakdown
Monitoring for signs of infection
The Correct Answer is A
A. Assessing respiratory function is critical as respiratory muscle involvement can lead to respiratory failure.
B. Monitoring blood glucose levels is important but not the priority in this context.
C. Checking for skin breakdown is important but secondary to respiratory assessment.
D. Monitoring for signs of infection is necessary but less urgent than assessing respiratory status.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Restricting fluid intake is inappropriate in Addison's disease; hydration is important.
B. A low-carbohydrate diet is not indicated; clients need adequate carbohydrates and sodium.
C. Administering oral corticosteroids is essential in preventing an Addisonian crisis by replacing deficient hormones.
D. Weighing the client daily is helpful but does not directly prevent an Addisonian crisis.
Correct Answer is C
Explanation
A. Lisinopril is used for hypertension, not myasthenia gravis.
B. Omeprazole is used to treat acid reflux, not myasthenia gravis.
C. Pyridostigmine is an acetylcholinesterase inhibitor used to improve muscle strength in myasthenia gravis.
D. Metformin is for managing diabetes and is not used in myasthenia gravis.
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