NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Urinary output and capillary refill
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Condition of skin
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Respiratory status
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Gag reflex and bowel sounds
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Detailed explanation-1: -During the course of GBS, the nurse will need to assess and monitor the patient for respiratory infections including pneumonia. The nurse will need to assess for problems associated with immobility related to muscle weakness and paralysis.
Detailed explanation-2: -Nursing care planning goals for a pediatric client with Guillain-Barre syndrome include improved respiratory function, promotion of physical mobility, prevention of contractures, decreased anxiety and pain, relief of urinary retention, improvement of parental care, and prevention of complications.
Detailed explanation-3: -A male client is hospitalized with Guillain-Barre Syndrome. Which assessment finding is the most significant? A male client with Guillain-Barré syndrome develops respiratory acidosis as a result of reduced alveolar ventilation.
Detailed explanation-4: -Assessing the gag reflex and saying “ah” are used to assess the glossopharyngeal and vagus nerves. Asking the patient to push the tongue to either side against resistance and to stick out the tongue are used to assess the hypoglossal nerve.