What are the clinical manifestations of GBS?
What will be an ideal response?
Clinical manifestations will vary from paresis of the lower extremities to complete tetraplegia,
respiratory insufficiency, and autonomic nervous system instability. Muscle weakness, the dominant
neurologic sign, usually appears in the legs and then extends to the arms and facial nerves within
24 to 72 hours. Some patients experience paresthesia preceding the muscle weakness. Other clinical
features include facial diplegia, dysphagia, dysarthria, and, less often, weakness of the muscles
supplied by the eleventh cranial nerve (spinal accessory). Autonomic nervous system dysfunction
may manifest as hypertension, tachycardia, postural hypotension, facial flushing, diaphoresis, and
loss of bladder and bowel sphincter control.
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Specific gravity of the urine reflects
A) a direct relationship with serum osmolarity. B) the capacity to concentrate the urine. C) how many sodium ions accompany 1 kg of solvent. D) molecular weight of substances (i.e., protein, glucose, etc.).
The patient is having premature ventricular contractions (PVCs). The nurse's greatest concern should be:
a. the proximity of the R wave of the PVC to the T wave of a normal beat. b. the fact that PVCs are occurring, because they are so rare. c. if the number of PVCs are decreasing. d. if the PVCs are wider than 0.12 seconds.
Nurses have the potential to positively impact the health of communities. Which of the following actions is most likely to improve the health of a community?
A) Publicizing the consequences of unhealthy lifestyles B) Advocating politically for laws and policies that foster community health C) Ensuring that nurses are practicing to the full extent of their scope of practice D) Providing nursing care to individuals who are not patients or clients
What factor has been hypothesized by researchers regarding current thoughts on sleep?
A) The current population requires less sleep B) More sleep is obtained through napping C) Population is healthier due to sleep D) Chronic sleep deprivation is present