A patient who has numbness and weakness of both feet is hospitalized with Guillain- Barré syndrome. The nurse will anticipate that collaborative interventions at this time will include ...

intubation and mechanical ventilation.

IV infusion of (Sandoglobulin).

administration of methylprednisolone (Solu-Medrol).

insertion of a nasogastric (NG) feeding tube

Answer and Explanation

The Correct Answer is B

Choice A rationale: Intubation and mechanical ventilation may be needed if the respiratory muscles are affected by GBS, but this is not a routine intervention at this stage.

Choice B rationale: One of the main treatments of GBS is IV immunoglobulin therapy (IVIG), which involves infusing antibodies from donated blood plasma to block the harmful immune response that damages the nerves. Sandoglobulin is one of the brand names of IVIG used for GBS. IVIG can help shorten the duration and severity of the disease, and improve the recovery rate.

Choice C rationale: Methylprednisolone is a corticosteroid that can reduce inflammation, but it is not recommended for GBS, as it may worsen the condition or increase the risk of infection.

Choice D rationale: NG feeding tube may be required if the patient has difficulty swallowing, but this is also not a standard intervention at this time.

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Correct Answer is A

Explanation

Choice A rationale: Phenazopyridine can cause a harmless side effect of turning urine a reddish-orange color.

Choice B rationale: Phenazopyridine is not contraindicated in individuals allergic to penicillin.

Choice C rationale: Phenazopyridine is not an antibiotic; it's a medication used to relieve urinary pain. Antibiotics are prescribed separately to treat UTIs.

Choice D rationale: Phenazopyridine should be taken with food or after eating to minimize stomach upset, but it doesn't need to be taken between meals or at bedtime.

A. The client shows a marked improvement of muscle strength. B. The client has muscles become weakened due to the impaired ability to respond to nerve signals C. There is reduced amplitude of electrical stimulation in the muscle. D. The anti-acetylcholine receptor antibodies are present.

Correct Answer is A

Explanation

Choice A rationale: The Tensilon test involves injecting edrophonium, and in myasthenia gravis, temporary improvement in muscle strength confirms the diagnosis by demonstrating increased acetylcholine activity at the neuromuscular junction.

Choice B rationale: This describes the pathophysiology of myasthenia gravis but doesn’t directly confirm the diagnosis via the Tensilon test.

Choice C rationale: While this may be seen in myasthenia gravis, the Tensilon test specifically aims to observe improved muscle strength after administration.

Choice D rationale: While the presence of these antibodies is a characteristic of myasthenia gravis, the Tensilon test is used to assess the immediate response to the medication for diagnostic confirmation.

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A patient who has numbness and weakness of both feet is hospitalized with Guillain- Barré syndrome. The nurse will anticipate that collaborative interventions at this time will include ...

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You're planning your medication teaching for your patient with a UTI prescribed phenazopyridine (Pyridium). What do you include?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

The nurse is reviewing the patient lab and the following is shown on the CT: The nurse conclude the patient has :

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