Which of the following are clinical manifestations of Guillain-Barré syndrome? (Select all that apply)

Fever

Muscle weakness

Blurred vision

Loss of reflexes

Tingling or numbness in the extremities

Answer and Explanation

Correct Answer : B,D,E

A. Fever is not a typical symptom of Guillain-Barré syndrome; it is usually associated with infections.
B. Muscle weakness is a primary symptom of Guillain-Barré syndrome, often starting in the legs and progressing upward.
C. Blurred vision is not commonly associated with Guillain-Barré syndrome.
D. Loss of reflexes is a characteristic sign of Guillain-Barré syndrome due to nerve involvement.
E. Tingling or numbness in the extremities is a common early symptom of Guillain-Barré syndrome.

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Correct Answer is B

Explanation

A. Blood cultures can identify causative organisms but are not definitive for meningitis.
B. Lumbar puncture is the definitive test for meningitis, as it allows for analysis of cerebrospinal fluid to confirm the diagnosis and identify the causative organism.
C. MRI can provide imaging of the brain but cannot definitively diagnose meningitis.
D. CT scan is useful for imaging but does not provide a definitive diagnosis of meningitis.

Correct Answer is ["11.8"]

Explanation

To calculate the dosage for Dopamine as per the physician's order, we first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. The client weighs 138.6 lbs, which is approximately 62.9 kg (138.6 lbs / 2.2). Now, using the ordered dose of 2.5 mcg/kg/min, we multiply the client's weight in kg by the dose to find the mcg/min: 62.9 kg * 2.5 mcg/kg/min = 157.25 mcg/min. To find mcg/hr, we multiply this by 60 minutes: 157.25 mcg/min * 60 = 9435 mcg/hr.
Next, we need to calculate mL/hr. We have Dopamine 200 mg in 250 mL, which is 200,000 mcg in 250 mL since 1 mg equals 1000 mcg. This gives us a concentration of 800 mcg/mL (200,000 mcg / 250 mL). To find the mL/hr, we divide the mcg/hr by the concentration: 9435 mcg/hr / 800 mcg/mL = 11.8 mL/hr.
Rounding to the nearest tenth, the final dosages are:
mcg/min: 157.3 mcg/min
mcg/hr: 9435 mcg/hr
mL/hr: 11.8 mL/hr

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Which of the following are clinical manifestations of Guillain-Barré syndrome? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Which diagnostic test is considered the definitive test for meningitis?

Correct Answer is B

Explanation

The physician orders Dopamine 2.5 mcg/kg/min. Available is Dopamine 200mg in 250 ml normal saline. The client's weight is 138.6 lbs. Calculate mcg/min, mcg/hr. and mL/hr

Correct Answer is ["11.8"]

Explanation

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Administer Dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800 mg in 250 mL of D5W. Your client weights 85.3 kg. How many mL/hr are you to set the infusion pump? (Round answer to nearest whole number)