HESI Case Study: Guillain-Barré Syndrome exam with complete solution graded A+

1. What information from the client would support the diagnosis of Guillain-BarrÉ syndrome? - Any type of cold or stomach virus in the last month. 2. Which assessment intervention will the nurse implement specifically for the diagnosis of GuillainBarré syndrome? - Assess deep tendon reflexes. 3. Which intervention will the nurse implement prior to this procedure? - Obtain informed consent. 4. Which intervention should the nurse implement post-procedure? - Increase client's fluid intake. 5. Which action indicates the nurse understands his Muslim food and beverage preferences? - Notify the dietary department that the client cannot eat any pork. The nurse asks client, "How can the healthcare team best support your faith while you are in the hospital?" 6. Which statement by the client reflects his Muslim faith? - I must be able to pray 5 times a day. The nurse is transcribing the healthcare provider's admitting orders. The nurse is having difficulty reading one of the orders. 7. Which action should the nurse implement? - Notify the HCP immediately to clarify the order. Later during the shift, the nurse enters client's room and meets his brother and client's spouse. Client's brother states, "My brother tells me he has a syndrome but can't explain to me what is going on, can you tell me what is wrong with him?" 8. How should the nurse respond? - Report that the client has muscle weakness that is traveling up his body and that it may get worse.9. Which problem area will take priority for client as the syndrome progresses? - Respiratory issues due to progressive muscle weakness.