A nurse is reviewing the laboratory results of a client who has Guillain-Barré syndrome (GBS). Which of the following findings should the nurse report to the provider?
Elevated cerebrospinal fluid (CSF) protein level
Decreased serum creatinine kinase (CK) level
Increased CSF white blood cell (WBC) count
Decreased serum sodium level
The Correct Answer is C
Choice A reason:
This is an incorrect answer. Elevated CSF protein level is a common finding in clients who have GBS due to demyelination of peripheral nerves. It does not indicate infection or inflammation and does not require immediate intervention.
Choice B reason:
This is an incorrect answer. Decreased serum CK level is a normal finding in clients who have GBS because CK is released from damaged muscle tissue and GBS does not affect muscle cells directly.
Choice C reason:
This is a correct answer. Increased CSF WBC count indicates infection or inflammation in the central nervous system (CNS), which can be a complication of GBS or a sign of another condition such as meningitis or encephalitis. The nurse should report this finding to the provider for further evaluation and treatment.
Choice D reason:
This is an incorrect answer. Decreased serum sodium level can occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
This is an incorrect answer. A tonic-clonic seizure (also known as a grand mal seizure) is characterized by alternating phases of muscle rigidity and jerking movements, along with loss of consciousness and postictal confusion.
Choice B reason:
This is a correct answer. An absence seizure (also known as a petit mal seizure) is characterized by brief episodes of staring, blinking, lip smacking, or other subtle movements, along with impaired awareness and no postictal confusion.
Choice C reason:
This is an incorrect answer. A myoclonic seizure is characterized by sudden, brief, and irregular muscle contractions, usually involving the arms, legs, or trunk.
Choice D reason:
This is an incorrect answer. An atonic seizure (also known as a drop attack) is characterized by sudden loss of muscle tone, resulting in falling or collapsing.
Correct Answer is B
Explanation
Choice A reason:
This is a correct statement. The central nervous system (CNS) is responsible for processing sensory information, generating motor commands, and regulating cognitive and emotional functions.
Choice B reason:
This is an incorrect statement. The peripheral nervous system (PNS) consists of the cranial nerves, spinal nerves, and ganglia that connect the CNS to the rest of the body.
Choice C reason:
This is a correct statement. The autonomic nervous system (ANS) regulates involuntary functions of smooth muscles, cardiac muscles, and glands. It has two branches: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).
Choice D reason:
This is a correct statement. The sympathetic nervous system (SNS) prepares the body for stress or emergency situations by increasing heart rate, blood pressure, respiratory rate, and blood glucose levels. It also dilates the pupils, bronchi, and blood vessels to skeletal muscles.
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