The nurse is assessing a patient with Guillain-Barré syndrome. What should the nurse expect to assess in this patient?

Select all that apply.
1. increased muscular weakness
2. increased lower extremity edema
3. increased confusion
4. increased intolerance to light
5. decreased deep tendon reflexes


Correct Answer: 1, 5
As Guillain-Barré develops, the patient will, experience muscle weakness with paralysis from altered nerve conduction (motor nerves become demyelinated). One manifestations of the acute stage is decreased deep tendon reflexes. Increased lower extremity edema, confusion, and intolerance to light are not manifestations of this disorder.

Nursing

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