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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Increasing carbohydrate intake is not advisable; clients with Cushing's disease often need to manage blood sugar levels.
B. Decreasing protein intake is inappropriate; adequate protein is necessary for tissue repair and maintenance.
C. Restricting sodium intake is crucial to manage fluid retention and hypertension associated with Cushing's disease.
D. Limiting intake of potassium-rich foods is incorrect; potassium is often depleted, and clients may need more potassium.

A. Displacement B. Reaction formation C. Rationalization D. Denial

Correct Answer is D

Explanation

A. Displacement involves redirecting emotions, which does not apply here.
B. Reaction formation is expressing the opposite of one's true feelings; this does not fit the statement.
C. Rationalization involves justifying behaviors or feelings; the statement does not justify.
D. Denial is refusing to accept the reality of the situation, which aligns with the client's belief about their pain.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 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 C

Explanation

A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism?

A nurse is setting goals for a client who has AIDS and is at the end of life. Which of the following are realistic goals?

A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

Which of the following is a characteristic feature of Guillain-Barre syndrome?

A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?

A nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?