The mother of a 9-year-old child just diagnosed with Guillain-Barré syndrome asks the nurse to tell her about this disease. Which of the following statements by the nurse would be accurate?
1. "This is a relatively rare congenital disorder inherited from both parents."
2. "This disorder is most common in adults, but occasionally is found in children."
3. "The disease is characterized by temporary paralysis that begins in the feet."
4. "Diarrhea and vomiting are common problems to look for early on."
3
Rationale: Guillain-Barré syndrome is characterized by paralysis that begins in the feet and ascends, then gradually recedes. It is not a congenital disorder, is equally common in children and adults, and does not manifest with vomiting and diarrhea.
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The nurse is performing the diagnostic positions test. Normal findings would be which of these results?
a. Convergence of the eyes b. Parallel movement of both eyes c. Nystagmus in extreme superior gaze d. Slight amount of lid lag when moving the eyes from a superior to an inferior position
Normal bowel sounds are heard as
a. continuous, low-pitched rumbling sounds. b. intermittent, high-pitched tinkling sounds occurring every 10–25 seconds. c. intermittent, high-pitched gurgling sounds occurring 5–30 times per minute. d. intermittent, loud gurgling sounds.
If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:
1. Bupropion (Zyban) is started 1 to 2 weeks before the quit date. 2. Nicotine replacement products should not be used with bupropion. 3. If they smoke when taking bupropion they may have increased anxiety and insomnia. 4. Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy.
When admitting the patient, call them by their first name
True False