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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A pill-rolling tremor is associated with Parkinson's disease, not myasthenia gravis.
B. Electrical charge in a muscle increasing is not relevant to this test.
C. Muscle strength showing no change indicates a negative test result.
D. Muscle contractions becoming progressively stronger after administration of Tensilon indicates a positive test for myasthenia gravis.
Correct Answer is D
Explanation
A. Quaternary prevention focuses on preventing harm from unnecessary interventions; this does not apply.
B. Tertiary prevention relates to managing disease and its complications.
C. Primary prevention aims to prevent disease occurrence, which does not apply to testing.
D. Secondary prevention involves early detection of disease; free HIV testing fits this category to help prevent complications that follow due to immunosuppression.
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