Following his annual influenza vaccination, a client begins to feel achy, like he has developed the flu. An hour later, the client is rushed to the emergency department

Question

Diagnosis of Guillain-Barré syndrome was made based on which of the following assessment findings? Select all that apply.
A) Rapid deterioration of respiratory status
B) Lack of any physical pain
C) Flaccid paralysis of limbs
D) BP 90/62
E) Pale, cool, dry skin

Answer 1

Ans: A, C, D
Feedback:
Guillain-Barré syndrome usually is a medical emergency. There may be a rapid development of ventilatory failure and autonomic disturbances that threaten circulatory function. The disorder is characterized by progressive ascending muscle weakness of the limbs, producing a symmetric flaccid paralysis. Paralysis may progress to involve the respiratory muscles. Autonomic nervous system involvement that causes postural hypotension, arrhythmias, facial flushing, abnormalities of sweating, and urinary retention is common. Pain is another common feature of Guillain-Barré syndrome.