, Guillain-Barre Syndrome exam (100% solved)
Guillain-Barré Syndrome QUIZ- CHAPT
38
1. A nurse is teaching about nursing actions for caring for patients with Guillain-
Barré syndrome (GBS). Which statement indicates effective learning?
▪ “Keep the patient in a single position.”
▪ “Do not offer any kind of diversions to the patient.”
▪ “Establish methods of communication and provide a method to call the nurse.”
o Rationale: The nurse may arrange for means of communication that the
patient with GBS can use to call the nurse.
▪ “Discuss the use of analgesics or nonopioids with a friend.”
2. when caring for a patient newly diagnosed with Guillain-Barré syndrome (GBS),
which intervention would the nurse anticipate?
▪ Corticosteroid administration
▪ Lumbar puncture
▪ Plasmapheresis
o Rationale: The American Academy of Neurology recommends
plasmapheresis for non-ambulatory adult patients with GBS who
start treatment within 4 weeks of onset of neuropathic symptoms.
▪ Emergency surgery
3. When caring for a patient experiencing ascending muscle weakness and reporting
recently being ill with COVID-19, which diagnostic test would the nurse anticipate
being ordered?
▪ CT scan
▪ Lumbar puncture
o Rationale: A lumbar puncture is performed to assist in the confirmation of a
diagnosis of GBS. Cerebrospinal fluid findings include elevated protein and
normal cell count.
▪ Electrocardiogram
▪ MRI
4. The patient and family are anxious and say to the nurse, “The doctor talked about his
condition and used the word paralyzed. What is going on?” How should the nurse reply?
Client Data
Nurses’ Notes Lumbar puncture performed at the bedside.
3/30/XX Patient tolerated the procedure with minimal
10:40 discomfort.
42-year-old man brought to the ED by Vital Signs
family. Recovering from influenza and 3/30/XX
developed pain and numbness of the 10:40
shoulders, back, buttocks, and upper Temp 100.3°F (37.9°C)
legs. Finding it difficult to move his HR 112 bpm