Neuro Case Studies with NCLEX Questions
Neuro Case Studies with NCLEX Questions
Study online at https://quizlet.com/_203lax
1. What is Guillian-Barre syn- acute rapidly progressive inflammation affecting PNS charac-
drome? terized by motor, sensory, autonomic dysfunction. Demyeli-
nating polyneuropathy result of autoimmune cause.
Starts in the lower limbs and works its way up
Healing depends on the severity
In simple terms, the body's immune system is attacking the
nerves
2. What are signs and symptoms Weakness and tingling in your extremities are usually the first
of Guillian-Barre? symptoms.
Weakness in legs that spreads to the upper body
Severe pain
Trouble breathing
3. What are developmental as- Socialization- provide other ways of socializing
pects that need to be consid- Use small simple sentences
ered for an 8 year old with Guil- Check how parents are handling it
lian Barre/
4. . A patient with Guillain-Bar- Correct Answer: B
ré syndrome asks the nurse Rationale: Guillain-Barré syndrome is believed to result from
what has caused the disease. an immunologic reaction that damages the myelin sheath of
In responding to the patient, the peripheral nerves. Acute infection or inflammation of the
the nurse explains that Guil- nerves is not a cause. The peripheral nerves are not destroyed
lain-Barré syndrome and do not degenerate.
a. results from an acute infec-
tion and inflammation of the Cognitive Level: Comprehension Text Reference: pp.
peripheral nerves. 1585-1586
b. is due to an immune reaction Nursing Process: Implementation NCLEX: Physiological In-
that attacks the covering of the tegrity
peripheral nerves.
c. is caused by destruction of
1/9
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, Neuro Case Studies with NCLEX Questions
Neuro Case Studies with NCLEX Questions
Study online at https://quizlet.com/_203lax
the peripheral nerves after ex-
posure to a viral infection.
d. results from degeneration of
the peripheral nerve caused by
viral attacks.
5. . A 24-year-old patient is hos- Correct Answer: D
pitalized with the onset of Rationale: The most serious complication of Guillain-Barré
Guillain-Barré syndrome. Dur- syndrome is respiratory failure, and the nurse should monitor
ing this phase of the patient's respiratory function continuously. The other assessments will
illness, the most essential as- also be included in nursing care, but they are not as important
sessment for the nurse to carry as respiratory assessment.
out is
a. monitoring the cardiac Cognitive Level: Comprehension Text Reference: p. 1586
rhythm continuously. Nursing Process: Assessment NCLEX: Physiological Integrity
b. determining the level of con-
sciousness q2hr.
c. evaluating sensation and
strength of the extremities.
d. performing constant evalua-
tion of respiratory function
6. When caring for a patient who Correct Answer: B
has Guillain-Barré syndrome, Rationale: Drooling indicates decreased ability to swallow,
which assessment data ob- which places the patient at risk for aspiration and requires
tained by the nurse will require rapid nursing and collaborative actions such as suctioning
the most immediate action? and possible endotracheal intubation. The foot pain should
a. The patient complains of se- be treated with appropriate analgesics, and the BP requires
vere tingling pain in the feet. ongoing monitoring, but these actions are not as urgently
b. The patient has continuous needed as maintenance of respiratory function. Absence of
drooling of saliva. the reflexes should be documented, but this is a common
c. The patient's blood pressure finding in Guillain-Barré syndrome.
2/9
actualstudy Page 2
Neuro Case Studies with NCLEX Questions
Study online at https://quizlet.com/_203lax
1. What is Guillian-Barre syn- acute rapidly progressive inflammation affecting PNS charac-
drome? terized by motor, sensory, autonomic dysfunction. Demyeli-
nating polyneuropathy result of autoimmune cause.
Starts in the lower limbs and works its way up
Healing depends on the severity
In simple terms, the body's immune system is attacking the
nerves
2. What are signs and symptoms Weakness and tingling in your extremities are usually the first
of Guillian-Barre? symptoms.
Weakness in legs that spreads to the upper body
Severe pain
Trouble breathing
3. What are developmental as- Socialization- provide other ways of socializing
pects that need to be consid- Use small simple sentences
ered for an 8 year old with Guil- Check how parents are handling it
lian Barre/
4. . A patient with Guillain-Bar- Correct Answer: B
ré syndrome asks the nurse Rationale: Guillain-Barré syndrome is believed to result from
what has caused the disease. an immunologic reaction that damages the myelin sheath of
In responding to the patient, the peripheral nerves. Acute infection or inflammation of the
the nurse explains that Guil- nerves is not a cause. The peripheral nerves are not destroyed
lain-Barré syndrome and do not degenerate.
a. results from an acute infec-
tion and inflammation of the Cognitive Level: Comprehension Text Reference: pp.
peripheral nerves. 1585-1586
b. is due to an immune reaction Nursing Process: Implementation NCLEX: Physiological In-
that attacks the covering of the tegrity
peripheral nerves.
c. is caused by destruction of
1/9
actualstudy Page 1
, Neuro Case Studies with NCLEX Questions
Neuro Case Studies with NCLEX Questions
Study online at https://quizlet.com/_203lax
the peripheral nerves after ex-
posure to a viral infection.
d. results from degeneration of
the peripheral nerve caused by
viral attacks.
5. . A 24-year-old patient is hos- Correct Answer: D
pitalized with the onset of Rationale: The most serious complication of Guillain-Barré
Guillain-Barré syndrome. Dur- syndrome is respiratory failure, and the nurse should monitor
ing this phase of the patient's respiratory function continuously. The other assessments will
illness, the most essential as- also be included in nursing care, but they are not as important
sessment for the nurse to carry as respiratory assessment.
out is
a. monitoring the cardiac Cognitive Level: Comprehension Text Reference: p. 1586
rhythm continuously. Nursing Process: Assessment NCLEX: Physiological Integrity
b. determining the level of con-
sciousness q2hr.
c. evaluating sensation and
strength of the extremities.
d. performing constant evalua-
tion of respiratory function
6. When caring for a patient who Correct Answer: B
has Guillain-Barré syndrome, Rationale: Drooling indicates decreased ability to swallow,
which assessment data ob- which places the patient at risk for aspiration and requires
tained by the nurse will require rapid nursing and collaborative actions such as suctioning
the most immediate action? and possible endotracheal intubation. The foot pain should
a. The patient complains of se- be treated with appropriate analgesics, and the BP requires
vere tingling pain in the feet. ongoing monitoring, but these actions are not as urgently
b. The patient has continuous needed as maintenance of respiratory function. Absence of
drooling of saliva. the reflexes should be documented, but this is a common
c. The patient's blood pressure finding in Guillain-Barré syndrome.
2/9
actualstudy Page 2
