What is the initial treatment for Guillain-Barré syndrome?

Corticosteroids

Antibiotics

Antiviral medications

Intravenous immunoglobulin (IVIG)

Answer and Explanation

The Correct Answer is D

A. Corticosteroids are not typically used as the initial treatment for Guillain-Barré syndrome.
B. Antibiotics are not effective against Guillain-Barré syndrome as it is not caused by a bacterial infection.
C. Antiviral medications are not relevant for Guillain-Barré syndrome because it is not caused by a viral infection.
D. Intravenous immunoglobulin (IVIG) is the initial treatment of choice as it helps reduce the severity and duration of the symptoms by modulating the immune response.

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Correct Answer is B

Explanation

A. Limiting intake of potassium-rich foods is not recommended; clients with Cushing's disease often need to increase potassium intake due to hypokalemia.
B. Restricting sodium intake is important to help manage fluid retention and hypertension associated with Cushing's disease.
C. Increasing carbohydrate intake is not advisable as it can exacerbate hyperglycemia, a common issue in Cushing's disease.
D. Decreasing protein intake is not necessary; maintaining adequate protein intake is important for muscle mass and overall health.

Correct Answer is ["18"]

Explanation

To calculate the IV pump setting, first convert the patient's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The patient weighs 195 pounds, which is approximately 88.64 kilograms (195 / 2.2). Next, calculate the total units of Heparin needed per hour by multiplying the patient's weight in kilograms by the dosage ordered: 20 units/kg/hr. So, 88.64 kg * 20 units/kg/hr equals 1,772.8 units/hr. Now, determine how many milliliters per hour this dosage requires. Since the premixed bag contains 25,000 units in 250 ml, there are 100 units per ml (25,000 units / 250 ml). Finally, divide the total units needed per hour by the concentration to find the volume needed per hour: 1,772.8 units/hr / 100 units/ml equals 17.728 ml/hr. Rounded to the nearest whole number, the IV pump should be set to 18 ml/hr.

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What is the initial treatment for Guillain-Barré syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

Correct Answer is B

Explanation

12. The physician has ordered the patient to receive Heparin 20 u/kg/hr in a continuous IV infusion. The client weighs 195 pounds. Heparin is available in a premixed bag and is labeled as 25,000 units in 250 ml. Calculate how many ml/hr to set the IV pump. Round answer to nearest whole number.

Correct Answer is ["18"]

Explanation

Which of the following is a characteristic feature of Cushing's syndrome?

A nurse is assessing a client with suspected meningitis. Which of the following findings would the nurse identify as a classic manifestation of meningitis?

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurologic effects?

A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?

The physician has ordered your client to receive Heparin at 15 u/kg/hr. Heparin is available as 25,000 units in 500 ml. Your client weighs 166 pounds. Calculate how many ml/hr to set the IV pump. Round answer to nearest tenth.

Which priority Intervention should the nurse implement for the client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

Which of the following are risk factors for meningitis? (Select All that Apply.)