When caring for a patient with Guillain-Barré Syndrome, which of the following is the most critical assessment the nurse should prioritize?

Assessing respiratory function

Monitoring blood glucose levels

Checking for skin breakdown

Monitoring for signs of infection

Answer and Explanation

The Correct Answer is A

A.   Assessing respiratory function is critical as respiratory muscle involvement can lead to respiratory failure.
B.   Monitoring blood glucose levels is important but not the priority in this context.
C.   Checking for skin breakdown is important but secondary to respiratory assessment.
D.   Monitoring for signs of infection is necessary but less urgent than assessing respiratory status.

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Correct Answer is C

Explanation

A. Joint pain is common in SLE but not as urgent.
B. A dry, raised rash is characteristic of SLE but is not an immediate concern.
C. Presence of peripheral edema could indicate renal involvement, which is a serious complication in SLE.
D. Feelings of depression are significant but do not require immediate medical intervention.

A. A raised rash B. Muscle hyperreflexia C. Weight gain D. Hypothermia

Correct Answer is A

Explanation

A. A raised rash, such as a butterfly rash across the cheeks, is a classic manifestation of SLE.
B. Muscle hyperreflexia is not a typical symptom of SLE.
C. Weight gain is not commonly associated with SLE; patients may experience weight loss or fluctuations.
D. Hypothermia is not characteristic of SLE; patients may experience fever due to inflammation.

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When caring for a patient with Guillain-Barré Syndrome, which of the following is the most critical assessment the nurse should prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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