This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 27-year-old patient is hospitalized with new onset of Guillain-Barr syndrome. The most essential ... (Read 114 times)

kwoodring

  • Hero Member
  • *****
  • Posts: 560
on: Jun 25, 2018
A 27-year-old patient is hospitalized with new onset of Guillain-Barr syndrome. The most essential assessment for the nurse to carry out is
 
  a. determining level of consciousness.
  b. checking strength of the extremities.
  c. observing respiratory rate and effort.
  d. monitoring the cardiac rate and rhythm.

Question 2

Which nursing action has the highest priority for a patient who was admitted 16 hours previously with a C5 spinal cord injury?
 
  a. Cardiac monitoring for bradycardia
  b. Assessment of respiratory rate and effort
  c. Application of pneumatic compression devices to legs
  d. Administration of methylprednisolone (Solu-Medrol) infusion


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Jane

  • Sr. Member
  • ****
  • Posts: 309
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
The most serious complication of Guillain-Barr syndrome is respiratory failure, and the nurse should monitor respiratory function continuously. The other assessments will also be included in nursing care, but they are not as important as respiratory assessment.

Answer to Question 2

ANS: B
Edema around the area of injury may lead to damage above the C4 level, so the highest priority is assessment of the patient's respiratory function. Methylprednisolone (Solu-Medrol) is no longer recommended for the treatment of spinal cord injuries. The other actions also are appropriate but are not as important as assessment of respiratory effort.


kwoodring

  • Member
  • Posts: 560
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

cpetit11

  • Member
  • Posts: 321
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

Did you know?

Your heart beats over 36 million times a year.

Patient with typical rheumatoid arthritis contractures. Patient with typical rheumatoid arthritis contractures.
Adult respiratory distress syndrome Adult respiratory distress syndrome
Teaching an illterate patient Teaching an illterate patient
Effects of nursing rounds on patient safety Effects of nursing rounds on patient safety
Computerized Patient Record (CPR) Computerized Patient Record (CPR)
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
Video: Electrical Conduction System of the Heart

For a complete list of videos, visit our video library