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

Answer and Explanation

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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Correct Answer is D

Explanation

A. An increased WBC count is not expected; often, patients with AIDS have leukopenia due to immune system compromise.
B. Increased hemoglobin is not typical; anemia is more common in these patients.
C. Weight gain is unlikely; weight loss and wasting are more common in late-stage AIDS.
D. Night sweats are a classic symptom of AIDS due to opportunistic infections and other complications.

A. Have the client empty his bladder. B. Place the client in low Fowler's position. C. Ask the client to take a few sips of water. D. Put up the side rails on the client's bed.

Correct Answer is C

Explanation

A. Having the client empty their bladder is not directly related to medication administration.
B. Placing the client in low Fowler's position may not be ideal for swallowing; a more upright position is often better.
C. Asking the client to take a few sips of water helps facilitate swallowing the medication effectively.
D. Putting up the side rails on the client's bed is not necessary for medication administration.

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When caring for a patient with Guillain-Barré Syndrome, which of the following is the most critical assessment the nurse should prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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