What is the best response by the nurse when the parents ask about the paralysis associated with Guillain-Barré Syndrome, which has affected the respiratory muscles and requires mechanical ventilation for their child?
"It must be difficult to accept your child's lifelong prognosis."
"Within days of treatment, your child will regain full recovery of their legs, and then their arms."
"The paralysis caused by this disease is temporary, but the recovery can take up to 2 years."
"In addition to the paralysis, your child will experience sensory loss."
The Correct Answer is C
Choice A reason: This statement is not accurate and may cause unnecessary distress, as Guillain-Barré Syndrome often does not result in a lifelong prognosis.
Choice B reason: This statement is overly optimistic and may not be accurate, as recovery times can vary greatly between individuals.
Choice C reason: This response provides a realistic expectation without causing undue alarm, acknowledging the temporary nature of the paralysis and the potential duration of recovery.
Choice D reason: While sensory loss can occur, it is not guaranteed, and the focus should be on the respiratory paralysis and the recovery process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.
Correct Answer is C
Explanation
Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.
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