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
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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Related Questions
Correct Answer is B
Explanation
A. Requesting a prescription for a relaxant may not address the underlying issue.
B. Verifying the most recent calcium level is essential, as spasms may indicate hypocalcemia due to potential parathyroid damage.
C. Administering an oral potassium supplement is not indicated; the focus should be on calcium.
D. Checking pedal pulses is less critical than assessing calcium levels in this context.
Correct Answer is C
Explanation
A. D-dimer is more relevant for clotting disorders.
B. Erythrocyte sedimentation rate (ESR) is not specific for liver disease.
C. Albumin levels help assess liver function and are crucial in evaluating liver disease.
D. C-reactive protein (CRP) is a marker of inflammation, not specific to liver disease.
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