The nurse is caring for a patient with Guillain-Barre Syndrome (GBS) receiving intravenous immunoglobulin (VIG). Which statement by the nurse includes accurate information regarding intravenous immunoglobulin (VIG) treatment for Guillain-Barre Syndrome?
You will be back to your normal functioning approximately 1 week after the IVIG infusions."
"IVIG will lessen the muscle weakness, but you will never achieve full motor strength and function.
You will develop respiratory failure before the IVIG treats the muscle weakness, that is why you are in the hospital.
VIG will be administered over the next 3-5 days, and side effects include flu-like symptoms.
The Correct Answer is D
A. "You will be back to your normal functioning approximately 1 week after the IVIG infusions.": The recovery process from Guillain-Barré Syndrome (GBS) can vary widely among individuals. It typically takes weeks to months for patients to recover full motor strength and function. The idea of returning to normal functioning in just one week after IVIG treatment is unrealistic.
B. "IVIG will lessen the muscle weakness, but you will never achieve full motor strength and function.": While recovery from GBS can be slow, many patients do recover fully or nearly fully with appropriate treatment, including IVIG. IVIG is used to shorten the duration of the illness and improve outcomes, but it does not guarantee permanent muscle weakness.
C. "You will develop respiratory failure before the IVIG treats the muscle weakness, that is why you are in the hospital.": This is not true for all patients. While Guillain-Barré Syndrome can lead to respiratory failure in some cases due to muscle weakness affecting the diaphragm and respiratory muscles, it does not mean that all patients will develop respiratory failure before treatment. IVIG is administered early to prevent severe complications, but this is not a universal scenario.
D. "VIG will be administered over the next 3-5 days, and side effects include flu-like symptoms.": Intravenous immunoglobulin (IVIG) treatment for GBS typically requires administration over a 3-5 day period. Common side effects of IVIG include flu-like symptoms, such as fever, chills, headache, and muscle aches. These symptoms are generally mild and transient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The pH is normal but leaning toward alkalosis (7.44).
The PaCO₂ is low (30 mmHg), indicating respiratory alkalosis.
The HCO₃⁻ is also low (18 mEq/L), showing metabolic compensation.
Since pH is within normal limits and both respiratory and metabolic components are abnormal, full compensation has occurred.
B. This is incorrect
C. This is incorrect
D. This is incorrect
Correct Answer is ["10"]
Explanation
Step 1: Identify what’s given
- Infusion rate = 8 mg/hour
- One bag = 80 mg in 200 mL
- We want to know how many hours the 80 mg will last at 8 mg/hour.
Step 2: Calculate time
Total dose in the bag ÷ infusion rate:
80 mg ÷ 8 mg/hour = 10 hours
Final Answer: 10 hours
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