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The nurse is admitting a school-age child with suspected Guillan- Barre syndrome (GBS). Which is the priority in the care for this child?

A.

Assessing respiratory efforts

B.

Placing on a telemetry monitor

C.

Monitoring intake and output

D.

Obtaining laboratory studies

Answer and Explanation

The Correct Answer is A

A. Guillain-Barré syndrome can cause progressive weakness and paralysis, including respiratory muscles. Respiratory assessment is the priority, as respiratory failure is a leading cause of mortality in GBS.

B. Placing the child on a telemetry monitor is helpful but not as urgent as assessing respiratory function in a child with GBS.

C. Monitoring intake and output is important but secondary to respiratory assessment in this case.

D. Obtaining laboratory studies is necessary but not as time-critical as assessing respiratory function.


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Related Questions

Correct Answer is A

Explanation

A. Guillain-Barré syndrome can cause progressive weakness and paralysis, including respiratory muscles. Respiratory assessment is the priority, as respiratory failure is a leading cause of mortality in GBS.

B. Placing the child on a telemetry monitor is helpful but not as urgent as assessing respiratory function in a child with GBS.

C. Monitoring intake and output is important but secondary to respiratory assessment in this case.

D. Obtaining laboratory studies is necessary but not as time-critical as assessing respiratory function.

Correct Answer is C

Explanation

A. Peritoneal dialysis is not more efficient than hemodialysis; it is slower, which can help reduce complications in pediatric clients.

B. Peritoneal dialysis does have potential complications, such as infection, but these are generally fewer than those associated with hemodialysis in children.

C. Peritoneal dialysis removes fluid at a slower rate, making it a better option for children, as it is less likely to cause sudden fluctuations in blood pressure or other complications.

D. Hemodialysis is used in the pediatric population, but peritoneal dialysis is often preferred in certain cases due to its lower complication rates and more gradual effect.

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