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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Teaching parents about cortisol replacement therapy is essential for managing Addison's disease.
B. Discussing hyperglycemia is not pertinent, as Addison's disease typically presents with hypoglycemia.
C. A low-sodium diet is not recommended; rather, increased sodium intake may be necessary.
D. Monitoring for fluid volume excess is not typically indicated in Addison's disease.
Correct Answer is C
Explanation
A. Increasing carbohydrate intake is not advisable; clients with Cushing's disease often need to manage blood sugar levels.
B. Decreasing protein intake is inappropriate; adequate protein is necessary for tissue repair and maintenance.
C. Restricting sodium intake is crucial to manage fluid retention and hypertension associated with Cushing's disease.
D. Limiting intake of potassium-rich foods is incorrect; potassium is often depleted, and clients may need more potassium.
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