The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Guillain-Barre syndrome.

Mycoplasma pneumonia.

Cytomegalovirus.

Epstein-Bar virus.

Answer and Explanation

The Correct Answer is A

A. Guillain-Barre syndrome is a condition that can occur after an upper respiratory infection and is characterized by progressive weakness, numbness, and sometimes difficulty swallowing, which align with the client's symptoms.

B. Mycoplasma pneumonia primarily affects the respiratory system and does not typically cause lower extremity numbness and difficulty swallowing.

C. Cytomegalovirus can cause a range of symptoms but is not specifically associated with lower extremity numbness and difficulty swallowing.

D. Epstein-Barr virus is linked to infectious mononucleosis and does not typically cause lower extremity numbness and difficulty swallowing.

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Correct Answer is B

Explanation

A. This statement does not directly address the mother's concern about the progression of CP.

B. Explaining that brain damage with CP is not progressive but has a variable course provides clear and accurate information, reassuring the mother that while the condition itself does not worsen, symptoms and functional abilities may change over time.

C. This option incorrectly suggests that the brain lesion will continue to develop, which is not accurate for CP.

D. This statement provides general information about CP but does not address the specific concern about progression of movement impairments.

A. Restless B. Awake and alert C. Anxious D. Respiratory rate 28 breaths/minute E. Oxygen Saturation 90% on room air F. Productive cough G. Heart rate 101 beats/minute H. Capillary refill 4 seconds I. Blood pressure 145/89 mm Hg

Correct Answer is ["A","C","D","E","G"]

Explanation

Neurological: Restlessness and anxiety can both be symptoms of hypoxia due to the brain's sensitivity to changes in oxygen levels.

Respiratory: Low oxygen saturation directly indicates hypoxia, and an increased respiratory rate can be a compensatory response to low oxygen levels.

Cardiovascular: Elevated heart rate can be a compensatory mechanism for hypoxia, and delayed capillary refill may indicate poor perfusion related to low oxygen levels.

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Body System	Assessment Finding
Neurological	Restless Awake and alert Anxious
Respiratory	Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough
Cardiovascular	Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg

The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Correct Answer is B

Explanation

Correct Answer is ["A","C","D","E","G"]

Explanation

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