It is important to frequently monitor the patient with Guillain-Barre' syndrome when ascending paralysis is occurring
When assessing the patient for bulbar muscle weakness, the nurse should be alert to which of the following clinical manifestations?
A) Decreased level of consciousness
B) Inability to clear secretions
C) Hypersensitivity of hands and feet
D) Increased intracranial pressure
Ans: B
Feedback: Bulbar muscle weakness related to demyelinization of the glossopharyngeal and vagus nerves results in an inability to swallow or clear secretions. Guillain-Barre' does not affect cognitive function or level of consciousness. Sensory symptoms include paresthesias of the hands and feet related to demyelinization of the sensory fibers. Guillain-Barre' does not cause increased intracranial pressure.
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