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Kelsierae11 Kelsierae11
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Posts: 316
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6 years ago
The nurse is assessing a patient with Guillain-Barr syndrome. What should the nurse expect to assess in this patient?
 
  Select all that apply.
  1. increased muscular weakness
  2. increased lower extremity edema
  3. increased confusion
  4. increased intolerance to light
  5. decreased deep tendon reflexes

Question 2

A patient with Guillain-Barr syndrome asks if recovery is possible. What should the nurse respond to this patient?
 
  1. Recovery will be slow, but your chance of getting better is good.
  2. Only time and prayer will tell.
  3. Do not worry about that right now.
  4. Recovery is not likely.

Question 3

A patient comes to the clinic complaining of excruciating pain on one side of the face. What should the nurse suspect is occurring with this patient?
 
  1. trigeminal neuralgia
  2. Parkinson disease
  3. Bell palsy
  4. myasthenia gravis

Question 4

The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). The nurse should realize that the prognosis for this patient is:
 
  1. poor; the disease rapidly progresses and is fatal.
  2. good; the disease will progress over many years but the quality of life will be good.
  3. good; the disease progresses rapidly but can be halted by drug therapy.
  4. excellent; the disease will progress slowly and can be controlled by medication.

Question 5

A patient who is newly diagnosed with Huntington disease asks the nurse whether this disorder can be passed on to future children. What should the nurse say in answer to this patient?
 
  Select all that apply.
  1. There may be genetic concerns that should be discussed with the physician.
  2. Children will not be affected by the disease.
  3. The disease is passed on genetically in 75 of offspring.
  4. Each child will have a 50 chance of inheriting the gene.
  5. Genetic testing is can determine who has the disease.
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1, 5
As Guillain-Barr develops, the patient will, experience muscle weakness with paralysis from altered nerve conduction (motor nerves become demyelinated). One manifestations of the acute stage is decreased deep tendon reflexes. Increased lower extremity edema, confusion, and intolerance to light are not manifestations of this disorder.

The answer to question 2

Correct Answer: 1
Recovery is likely, but it can take weeks to years for recovery. Nontherapeutic responses do not address the patient's concerns.

The answer to question 3

Correct Answer: 1
Trigeminal neuralgia is characterized by unilateral excruciating facial pain. This symptom is not associated with Parkinson disease, Bell palsy, or myasthenia gravis.

The answer to question 4

Correct Answer: 1
ALS is rapidly progressive and fatal, characterized by weakness and wasting of muscles that are under voluntary control, without any accompanying sensory changes. The prognosis is not good. The quality of life will not be good. A new drug, riluzole (Rilutek), is now available in the treatment of the disease but will not halt it. Death usually occurs due to respiratory failure.

The answer to question 5

Correct Answer: 1, 4, 5
Huntington disease (HD) is a progressive, degenerative, inherited neurologic disease. Children have a 50 chance of inheriting the disease. DNA testing for the marker on chromosome 4 can determine whether the person is a carrier of the disease before beginning to exhibit manifestations.
Kelsierae11 Author
wrote...
6 years ago
Genius!!!!!!
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