The nurse is caring for the patient experiencing Guillain-Barre Syndrome (GBS). It is most important for the nurse to monitor the patient for which complication?

Urinary retention

Hypertension

Hyperglycemia

Respiratory failure

Answer and Explanation

The Correct Answer is D

A. Urinary retention can occur in Guillain-Barre Syndrome due to autonomic dysfunction, but it is not the most life-threatening complication.
B. Hypertension may be seen as part of autonomic instability in GBS, but it is usually not the primary concern.
C. Hyperglycemia is not a typical complication of GBS itself, unless related to treatments like IV corticosteroids (which are not first-line therapy for GBS) or comorbid conditions.
D. Guillain-Barre Syndrome causes progressive ascending paralysis, which can eventually involve the respiratory muscles. Monitoring for respiratory failure is critical, as it can develop rapidly and requires immediate intervention, such as mechanical ventilation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

A. 7.47 pC02 30 PHCO3 24 p02 98 B. pH 7.31 p C02 52 pH PHCO3 30 p02 85 C. pH 7.29 p C02 57 pHCO3 25 p02 78 D. pH 7.37 p C02 61 pHCO3 33 p 02 71

Correct Answer is B

Explanation

A. pH 7.47, pCO2 30, HCO3 24, pO2 98

pH is alkaline (7.47), and the pCO2 is low (30), indicating respiratory alkalosis, not acidosis. This is not the correct answer.

B. pH 7.31, pCO2 52, HCO3 30, pO2 85

pH is low (7.31), indicating acidosis.

pCO2 is elevated (52), indicating respiratory acidosis.

HCO3 is elevated (30), indicating that the kidneys are attempting to compensate by retaining bicarbonate.

This fits the criteria for respiratory acidosis with partial compensation.

C. pH 7.29, pCO2 57, HCO3 25, pO2 78

pH is low (7.29), indicating acidosis.

pCO2 is elevated (57), suggesting respiratory acidosis.

HCO3 is normal (25), so there is no compensation yet.

This indicates uncompensated respiratory acidosis, not partial compensation.

D. pH 7.37, pCO2 61, HCO3 33, pO2 71

pH is normal (7.37), which does not indicate acidosis.

pCO2 is elevated (61), indicating respiratory acidosis.

HCO3 is elevated (33), indicating that the kidneys are compensating.

However, since the pH is normal, this likely indicates full compensation rather than partial compensation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for the patient experiencing Guillain-Barre Syndrome (GBS). It is most important for the nurse to monitor the patient for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is prescribed pantoprazole 8 mg/hr after a bolus dose is given. The standard concentration from the pharmacy is 80 mg in 200 mL. How many hours will one bag take to infuse? (Use a leading zero if it applies. Do not use a trailing zero. Round to the nearest hour.)

Correct Answer is ["10"]

Explanation

Correct Answer is B

Explanation

The nurse is caring for the patient experiencing Guillain-Barre Syndrome (GBS). It is most important for the nurse to monitor the patient for which complication?

Which of the following assessment findings in a client who is receiving atenolol for angina would be a cause for the nurse to hold the medication and contact the provider?

The nurse is receiving report on their patient assignments for the day. Which patient should be assessed first? The patient...

The nurse is caring for a patient who has had an anterior wall MI. Which of the following complications should the nurse assess for in this patient? (Select All that Apply.)

The nurse is caring for a client with hypercapnic respiratory failure. The client is lethargic & slow to follow commands. Current vitals: BP 78/52. pulse 132. respirations 8, and pulse ox 84% on 35% Venturi mask. The nurse would anticipate which medical prescription?

The patient with pneumonia is being treated with intravenous antibiotics. The nurse evaluates that the therapy has been effective by which data?

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results indicates a therapeutic effect of the medication to the nurse? An increase in....