The mother of a teenage client diagnosed with Guillian-Barre syndrome asks the nurse why the client keeps asking for her socks to be removed when the client is not wearing any socks
The nurse should instruct the mother in which of the following? 1. There is a change in sensation, and it feels like the client is wearing socks.
2. Tactile hallucinations are part of the disorder.
3. Medications are causing the client feel like socks are being worn.
4. Confusion is a part of the disorder, and the client just thinks socks are on the feet.
1. There is a change in sensation, and it feels like the client is wearing socks.
Rationale:
With Guillain-Barré syndrome, there is frequently a "stocking–glove" pattern—feeling as though stockings and gloves are being worn when they are not—with pain in the hands, feet, and legs. This is what the nurse should instruct the mother. Tactile hallucinations are not part of the disorder. Medications are not causing the client to feel like socks are being worn. Confusion is not part of the disorder.
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