An older client is hospitalized with Guillain-Barr syndrome. A ...

[asan beg]

An older client is hospitalized with Guillain-Barr syndrome. A family member tells the nurse the client is restless and seems confused. What action by the nurse is best?
 
  a. Assess the client's oxygen saturation.
  b. Check the medication list for interactions.
  c. Place the client on a bed alarm.
  d. Put the client on safety precautions.

Question 2

A client with myasthenia gravis (MG) asks the nurse to explain the disease. What response by the nurse is best?
 
  a. MG is an autoimmune problem in which nerves do not cause muscles to contract.
  b. MG is an inherited destruction of peripheral nerve endings and junctions.
  c. MG consists of trauma-induced paralysis of specific cranial nerves.
  d. MG is a viral infection of the dorsal root of sensory nerve fibers.

[Sarahjh]

Answer to Question 1

ANS: A
In the older adult, an early sign of hypoxia is often confusion and restlessness. The nurse should first assess the client's oxygen saturation. The other actions are appropriate, but only after this assessment occurs.

Answer to Question 2

ANS: A
MG is an autoimmune disorder in which nerve fibers are damaged and their impulses do not lead to muscle contraction. MG is not an inherited or viral disorder and does not paralyze specific cranial nerves.