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. Dobutamine is not indicated for anaphylaxis; it is used for heart failure.
B. Furosemide is a diuretic, not appropriate in acute anaphylaxis.
C. Epinephrine is the first-line treatment for anaphylactic shock and should be administered immediately to reverse severe allergic reactions.
D. Methylprednisolone may be used later to reduce inflammation but is not the first-line treatment.
Correct Answer is D
Explanation
A. Exophthalmos is associated with hyperthyroidism, not hypothyroidism.
B. Photophobia is not a typical finding in hypothyroidism.
C. Weight loss is usually not expected; clients often experience weight gain.
D. Lethargy is a common symptom of hypothyroidism due to decreased metabolism.
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