Nur 255 Test 3 Updated Actual Questions And Correct Answers

NUR 255 TEST 3 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. What is Guillain-Barre syndrome?
Answer:
An autoimmune disease in which the peripheral nerves become inflammed. Results in numbness and
paralysis in the legs, upper body, and face. Level of independence depends on extent of paralysis.

Question:
2. Guillian-Barre Syndrome (GBS) etiology
Answer:
Viral or bacterial infections vaccines Surgery or trauma

Question:
3. What is the most common bacteria that can lead to GBS
Answer:
Campylobacter jejuni

Question:
4. What is the most common virus that can lead to GBS
Answer:
Cytomegalovirus

Question:
5. Other causes of GBS
Answer:
Epstein-Barr virus Mycoplasma pneumonia Hep B,A,E Zika virus

Question:
6. What are the different types of GBS
Answer:
Acute demyelinating polyneuropathy (AIDP)- most common Acute motor axonal neuropathy
(AMAN)- more common in kids Acute motor sensory axonal neuropathy (AMSAN)

Question:
7. Main features of GBS
Answer:
acute, ascending, rapidly progressive, symmetric weakness of the limbs
-ascending (starts in the feet and may work its way up)
-symmetrical, both sides will be affected

Question:
8. First symptoms of GBS
Answer:
weakness, numbness, tingling in arms and legs that the client may perceive as painful. Reflexes in
affected limbs may be weak or absent

,Question:
9. When does maximal weakness occur in GBS
Answer:
Around 4 weeks

Question:
10. ANS dysfunction in AIDP and AMSAN looks like
Answer:
Orthostatic hypotension HTN abnormal vault response- bradycardia, heart block, systole Bowel and
bladder dysfunction Facial flushing Diaphoresis

Question:
11. CNS involvement for AIDP and AMSAN includes
Answer:
Facial weakness Parenthesis EOM movement problems Dysphagia

Question:
12. polyneuritis
Answer:
inflammation of many nerves
-GBS falls under this

Question:
13. what vaccines can cause GBS
Answer:
flu, tetanus, Hep A/B

Question:
14. what is the most common GBS
Answer:
acute inflammatory demyelinating polyneuropathy

Question:
15. patho behind GBS
Answer:
infection leads to an immune response causing degeneration of myelin sheath causing nerve signals to
be slowed or stopped leading to flaccid paralysis
-recovery is slow, nerves are one of the slowest things to heal if at all, months to years, and may not be
able to get back to 100% function

Question:
16. how is function returned in GBS
Answer:
proximal to distal pattern

Question:
17. what does the onset of symptoms look like in GBS time wise

, Answer:
onset can be hours to days

Question:
18. GBS manifestations: pain
Answer:
paresthesia, muscular aches and cramps, hyperesthesia worse at night decreased appetite sleep
disruption

Question:
19. GBS manifestations: respiratory
Answer:
respiratory failureparalysis progresses to nerves in the thorax frequent assessment of RR and depth is
needed may need to be intubated and mechanically ventilated

Question:
20. other manifestations of GBS
Answer:
respiratory and UTI infections paralytic ileus, muscle atrophy, VTE, Pls, ortho hypo, decreased
nutrition

Question:
21. what is the most serious complication when it comes to GBS
Answer:
respiratory failure

Question:
22. how does the weakness of limbs progress in GBS
Answer:
it is ascending, rapidly progressive SYMMETRIC weakness

Question:
23. what type of prophylaxis should a GBS pt be on?
Answer:
VTE, PE prophylaxis so some kind of anticoagulant due to the pt being immobile for an extended
period of time

Question:
24. what should be assessed frequently in GBS pts
Answer:
assessment of the RR and depth due to possible respiratory failure

Question:
25. what are the diagnostic labs for GBS

Question:
26. how is GBS diagnosed?