The nursing management of a client with Guillain-Barré syndrome who is immobile should concentrate on what aspects of care once the respiratory system has been managed?

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Question 1 of 5

The nursing management of a client with Guillain-Barré syndrome who is immobile should concentrate on what aspects of care once the respiratory system has been managed?

A. Turn the client every 2 hours to prevent skin breakdown B. Range-of-motion (ROM) exercises every 8 hours C. Encourage the client to participate in self-care D. Consult with a physical or occupational therapist on independence activities

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The patient is admitted to the emergency department having difficulty with respiratory, vasomotor, and cardiac function. Which portion of the brain is affected to cause these manifestations?

A. Medulla B. Cerebellum C. Parietal lobe D. Wernicke's area

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A patient is admitted to the hospital with Guillain-Barré syndrome. She had weakness in her feet and ankles that has progressed to weakness with numbness and tingling in both legs. During the acute phase of the illness, what should the nurse know about Guillain-Barré syndrome?

A. The most important aspect of care is to monitor the patient's respiratory rate and depth and vital capacity. B. Early treatment with corticosteroids can suppress the immune response and prevent ascending nerve damage. C. The most serious complication of this condition is ascending demyelination of the peripheral nerves and the cranial nerves. D. Although voluntary motor neurons are damaged by the inflammatory response, the autonomic nervous system is unaffected by the disease.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What is one indication for early surgical therapy of the patient with a spinal cord injury?

A. There is incomplete cord lesion involvement B. The ligaments that support the spine are torn C. A high cervical injury causes loss of respiratory function D. Evidence of continued compression of the cord is apparent

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

An older patient is describing increased rigidity in the shoulders, back, and hips. The loss of elasticity in what tissue contributes to this?

A. Actin B. Fascia C. Myosin D. Cartilage

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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