Which of the following statements correctly describes the Plateau stage of Guillain-Barre syndrome?

During the Plateau stage, the client experiences a gradual improvement in symptoms and a reduction in muscle weakness.

During the Plateau stage, the client experiences a relapse of symptoms and a recurrence of muscle weakness.

During the Plateau stage, the client experiences a worsening of symptoms and rapid progression of muscle weakness.

During the Plateau stage, the client experiences a complete resolution of symptoms and a return to normal muscle strength.

Answer and Explanation

The Correct Answer is D

A. Gradual improvement in symptoms occurs during the recovery phase, not the Plateau stage.
B. A relapse of symptoms is not typical during the Plateau stage.
C. Worsening of symptoms and rapid progression of muscle weakness occur during the acute phase, not the Plateau stage.
D. The Plateau stage is characterized by a stabilization of symptoms and no further progression of muscle weakness, marking the end of the acute phase and before the recovery phase begins.

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Correct Answer is B

Explanation

A. Desmopressin is used to treat diabetes insipidus, not SIADH.
B. Fluid restriction is a primary treatment to manage low sodium levels in SIADH.
C. 0.45% sodium chloride is hypotonic and not typically used in SIADH treatment.
D. Increasing dietary sodium alone is not sufficient; fluid restriction is more critical

Correct Answer is ["15","994"]

Explanation

To calculate the infusion rate in mL/hr for administering dopamine at 10 mcg/kg/min for a client weighing 85.3 kg, you would first convert the weight to micrograms by multiplying by 1,000,000 (since there are 1,000,000 micrograms in a kilogram). This gives you 85,300,000 mcg. Then, you multiply this by the dosage rate, which is 10 mcg/kg/min, resulting in 853,000 mcg/min. Since the pharmacy provides dopamine 800 mg in 250 mL, you convert 800 mg to micrograms (800,000 mcg) to find out how many micrograms are in each mL. This is done by dividing 800,000 mcg by 250 mL, giving you 3200 mcg/mL. Finally, to find out the mL/hr, you divide the required micrograms per minute (853,000 mcg/min) by the concentration of the solution (3200 mcg/mL), which equals approximately 266.56 mL/min. To convert this to mL/hr, multiply by 60, resulting in approximately 15,994 mL/hr. Rounding to the nearest whole number, you would set the infusion pump to 15,994 mL/hr.

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Which of the following statements correctly describes the Plateau stage of Guillain-Barre syndrome?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Correct Answer is B

Explanation

Administer Dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800 mg in 250 mL of D5W. Your client weights 85.3 kg. How many mL/hr are you to set the infusion pump? (Round answer to nearest whole number)

Correct Answer is ["15","994"]

Explanation

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