The nurse instructs the parents of a child with Guillain-Barr ...

[awywial]

The nurse instructs the parents of a child with Guillain-Barr syndrome on care that will be needed once the child is discharged home. Which statement made by the parents indicates that teaching has been effective?
 
  A) We need to be sure to change our child's body position at least twice a day..
  B) Our child might experience weakness even after recovering from the illness..
  C) It will take about 10 days for our child to be back normal and return to school..
  D) This disease affects the heart and lungs, so our child will have limited ability going forward..

Question 2

The nurse is caring for a preschool-age child recovering from a lumbar puncture. What should the nurse do to ensure the patient does not develop a spinal headache?
 
  A) Measure temperature every hour.
  B) Restrict fluids for 2 hours after the procedure.
  C) Elevate the head of the bed to a 30-degree angle.
  D) Take the pillow away and have the patient lie flat in bed.

[jojobee318]

Answer to Question 1

B
Feedback:
Most children recover completely, without any residual effects of the syndrome; although, some may continue to have minor problems such as residual weakness. To prevent muscle contractures and effects of immobility, turning and repositioning every 2 hours is important in addition to passive range-of-motion exercises about every 4 hours. It will take longer than 10 days for the child to recover and return to school. This disease does not directly affect the heart and lungs. There should be minimal residual disability going forward.

Answer to Question 2

D
Feedback:
A child may develop a headache after a lumbar puncture as a result of the reduction in CSF volume or invasion of a small air pocket during the puncture. The nurse should encourage the child to lie flat for at least 30 minutes. The child's blood pressure, pulse, and respirations should be assessed for changes that indicate an increase in intracranial pressure. The child should drink a glass of fluid after the procedure to help prevent cerebral irritation caused by air rising in the subarachnoid space and to help increase the amount of CSF. The head of the bed should be flat and not elevated to a 30-degree angle.