Guillain Barre Syndrome NCLEX Quiz Questions
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A female client with Guillain-Barré syndrome with paralysis affecting the respiratory muscles. The client requires mechanical ventilation. How should the nurse respond when the client asks the nurse about the paralysis?
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“You may have difficulty believing this, but the paralysis caused by this disease is temporary.”
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“You’ll have to accept the fact that you’re permanently paralyzed. However, you won’t have any sensory loss.”
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“It must be hard to accept the permanency of your paralysis.”
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“You’ll first regain use of your legs and then your arms.”
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Are you well-prepared to answer this Guillain Barre syndrome NCLEX quiz? Guillain-Barre (gee-YAH-but-RAY) syndrome is known as a rare disorder that causes your body's immune system to attack your nerves. Weakness and tingling in your feet, as well as hands, are usually the first symptoms. These questions will better your understanding of the syndrome, and you will also understand how See moreto deal with a patient suffering from this issue. Let's go for it!
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- 2.
A female client is admitted to the hospital who has a diagnosis of Guillain-Barre syndrome. The nurse asks during the nursing admission interview if the client has history of:
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Seizures or trauma to the brain
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Meningitis during the last 5 years
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Back injury or trauma to the spinal cord
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Respiratory or gastrointestinal infection during the previous month.
Correct Answer
A. Respiratory or gastrointestinal infection during the previous month.Explanation
Patients with Guillain-Barre syndrome often have a preceding respiratory or gastrointestinal infection. This is because Guillain-Barre syndrome is believed to be an autoimmune response triggered by an infection. The immune system mistakenly attacks the peripheral nervous system, leading to inflammation and muscle weakness. Therefore, it is important for the nurse to ask about any recent respiratory or gastrointestinal infections in order to assess the potential cause of the client's Guillain-Barre syndrome.Rate this question:
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- 3.
Paralysis that accompanies Guillain-Barré syndrome is only temporary.
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True
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False
Correct Answer
A. TrueExplanation
The statement is true because paralysis that occurs in Guillain-Barré syndrome is usually temporary. Guillain-Barré syndrome is a rare neurological disorder where the body's immune system mistakenly attacks the peripheral nerves. This can result in muscle weakness and paralysis. However, with proper medical treatment and rehabilitation, most people with Guillain-Barré syndrome are able to recover and regain their muscle function over time. Therefore, the correct answer is true.Rate this question:
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- 4.
A female client who has Guillain-Barré syndrome has ascending paralysis. She is intubated and receiving mechanical ventilation. Which strategy would the nurse incorporate in the plan of care to assist the client cope with this illness?
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Giving client full control over care decisions and restricting visitors
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Providing positive feedback and encouraging active range of motion
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Providing information, giving positive feedback, and encouraging relaxation
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None of these
Correct Answer
A. Providing information, giving positive feedback, and encouraging relaxationExplanation
The nurse would incorporate the strategy of providing information, giving positive feedback, and encouraging relaxation in the plan of care to assist the client cope with Guillain-Barré syndrome. This strategy helps the client feel empowered and involved in their care decisions, which can reduce anxiety and promote a sense of control. Providing information about the illness and treatment can also help the client understand what is happening to their body and what to expect. Giving positive feedback and encouraging relaxation techniques can help the client manage stress and promote a positive mindset during their recovery.Rate this question:
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- 5.
A male client who has Guillain-Barré syndrome develops respiratory acidosis because of reduced alveolar ventilation. Which combination of arterial blood gas values confirms respiratory acidosis?
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PH, 5.0; PaCO2 30 mm Hg
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PH, 7.40; PaCO2 35 mm Hg
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pH, 7.35; PaCO2 40 mm Hg
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PH, 7.25; PaCO2 50 mm Hg
Correct Answer
A. pH, 7.25; PaCO2 50 mm HgExplanation
The combination of a pH of 7.25 and a PaCO2 of 50 mm Hg confirms respiratory acidosis. In respiratory acidosis, there is an accumulation of carbon dioxide (PaCO2) in the blood, leading to a decrease in pH. A pH of 7.25 indicates acidosis, as it is below the normal range of 7.35-7.45. Additionally, a PaCO2 of 50 mm Hg is above the normal range of 35-45 mm Hg, further confirming respiratory acidosis.Rate this question:
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- 6.
A client with Guillain-Barré syndrome has remained on a ventilator for three weeks and can communicate only with eye blinks because of quadriplegia. The intensive care nursing staff usually have no time for this tedious communication process. How should the nurse reply to the family’s request for exemption from visiting hours?
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Arrange for a volunteer to stay with the client during the day to provide for socialization needs and to facilitate communication with staff.
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Explain to the family that consistency in enforcing rules is important to prevent complaints from the families of other clients.
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Both A & B
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Make an exception to visiting regulations because of the long-term nature of the client’s recovery and the need for family support.
Correct Answer
A. Make an exception to visiting regulations because of the long-term nature of the client’s recovery and the need for family support.Explanation
The nurse should make an exception to visiting regulations because of the long-term nature of the client's recovery and the need for family support. Guillain-Barré syndrome is a serious condition that can cause paralysis, and the client's ability to communicate is limited to eye blinks. The family's presence and support can be crucial in providing emotional and psychological support to the client during this difficult time. Allowing the family to visit outside of regular visiting hours would help maintain the client's socialization needs and facilitate communication with the nursing staff.Rate this question:
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- 7.
Guillain-Barré syndrome will never cause fear and anxiety.
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True
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False
Correct Answer
A. FalseExplanation
Guillain-Barré syndrome is a rare neurological disorder that can cause muscle weakness and paralysis. It is understandable that individuals diagnosed with this syndrome may experience fear and anxiety due to the sudden onset of symptoms and uncertainty about their prognosis. Therefore, the statement that Guillain-Barré syndrome will never cause fear and anxiety is false.Rate this question:
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- 8.
Which patient should be with the traveling nurse who is new to neurologic nursing care and has been in the neurologic unit for 1 week?
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A 34-year-old patient recently diagnosed with multiple sclerosis (MS)
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A 68-year-old patient who has chronic amyotrophic lateral sclerosis (ALS)
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A 56-year-old patient who has Guillain-Barre syndrome (GBS) in respiratory distress
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A 25-year-old patient who is admitted with CA level spinal cord injury (SCI)
Correct Answer
A. A 68-year-old patient who has chronic amyotrophic lateral sclerosis (ALS)Explanation
The correct answer is a 68-year-old patient who has chronic amyotrophic lateral sclerosis (ALS). This patient would be the best choice for the traveling nurse who is new to neurologic nursing care because ALS is a chronic condition that requires ongoing care and management. The nurse would have the opportunity to gain experience and familiarity with the specific needs and challenges of caring for patients with ALS. Additionally, the patient's age suggests that they may have been living with ALS for a longer period of time, providing the nurse with the opportunity to learn from their experiences and potentially receive guidance from other healthcare professionals who have been involved in their care.Rate this question:
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- 9.
A disease that ends in degeneration of the basal ganglia and cerebral cortex.
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multiple sclerosis
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Myasthenia gravis
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Huntington’s disease
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Guillain-Barre syndrome
Correct Answer
A. Huntington’s diseaseExplanation
Huntington's disease is a genetic disorder that causes degeneration of the basal ganglia and cerebral cortex. This leads to various symptoms such as involuntary movements, cognitive decline, and psychiatric disturbances. It is caused by a mutation in the huntingtin gene and typically manifests in adulthood. The progressive degeneration of these brain regions is responsible for the characteristic symptoms of Huntington's disease.Rate this question:
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- 10.
A male client gets hospitalized with Guillain-Barre Syndrome. ______ is the most significant.
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Even, unlabored respirations
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Soft, nondistended abdomen
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Both A & B
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None of these
Correct Answer
A. Even, unlabored respirationsExplanation
Even, unlabored respirations are the most significant in a male client hospitalized with Guillain-Barre Syndrome. This is because Guillain-Barre Syndrome affects the peripheral nervous system, leading to muscle weakness and paralysis. Respiratory muscles can also be affected, resulting in difficulty breathing. Therefore, the presence of even, unlabored respirations indicates that the client's respiratory muscles are functioning adequately, which is crucial for maintaining oxygenation and preventing respiratory distress. A soft, nondistended abdomen is also important but not as significant as respiratory function in this case.Rate this question:
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Apr 25, 2024Quiz Edited by
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Expert Reviewed by
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Mar 05, 2013Quiz Created by
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