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 ["B","C","E"]

Explanation

A. Administering warfarin is contraindicated due to liver impairment affecting coagulation.
B. Administering furosemide helps manage fluid retention in cirrhosis.
C. Measuring abdominal girth is important to assess for ascites and fluid retention.
D. Encouraging weight lifting is not appropriate due to the risk of increased abdominal pressure.
E. Implementing a low-sodium diet is important to manage fluid retention.

A. Increased WBC count B. Increased hemoglobin C. Weight gain D. Night sweats

Correct Answer is D

Explanation

A. An increased WBC count is not expected; often, patients with AIDS have leukopenia due to immune system compromise.
B. Increased hemoglobin is not typical; anemia is more common in these patients.
C. Weight gain is unlikely; weight loss and wasting are more common in late-stage AIDS.
D. Night sweats are a classic symptom of AIDS due to opportunistic infections and other complications.

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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

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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