ATI RN
ATI Pediatrics Exam 1 Questions
Extract:
A client recently diagnosed with Guillain-Barre syndrome, drooling and having difficulty swallowing secretions.
Question 1 of 5
The client recently diagnosed with Guillain-Barre' syndrome is drooling and having difficulty swallowing secretions. When asked why this is happening, which of the following is the best answer for the nurse to give to the family?
Correct Answer: D
Rationale: The correct answer is D: Cranial nerves responsible for the swallow and the gag reflex have been affected by demyelination caused by the disorder. In Guillain-Barre syndrome, demyelination of nerves occurs, affecting the cranial nerves responsible for swallowing and gag reflex, leading to drooling and difficulty swallowing secretions. This explanation is appropriate because it directly links the pathophysiology of the disorder to the observed symptoms.
Choice A is incorrect because Guillain-Barre syndrome does not cause enlargement of parotid and salivary glands.
Choice B is incorrect as the syndrome does not involve obstructed blood flow to the brain.
Choice C is incorrect because thiamine and pyridoxine deficiencies are not associated with Guillain-Barre syndrome. The most appropriate answer is D as it directly correlates the symptoms to the underlying pathophysiology of the disorder.
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