Guillain barre Welcome to your Guillain barre 1. Select 4 client findings that require immediate follow-up. Vital Signs Lung Sounds Mental Status Oxygen Saturation Peripheral perfusion 2. Complete the following sentence by choosing from the list of options. The client is at highest risk for developing Please select your answer Cardiac arrest Respiratory Failure Stroke muscle wasting from decreased mobility 3. Which of the following would be potential nursing interventions for this client. Select all that apply. Resquest an order for oxygen Start a peripheral IV Connect client to the cardiac monitor Continuous Pulse oximetry Get order for an Arterial Blood Gas Have intubation tray at the bedside Administer a bolus of normal saline Request an order for dopamine drip Have the LPN take the client for CT scan of the head 4. Which of following physician's orders is a nursing priority? Please select your answer Cardiac Monitoring Chest Xray Apply oxygen CT of the head CBC, CMP, blood culture x 2, and ABG 5. The respiratory therapist draws an ABG and the results are completed. What acid/base imbalance does the nurse anticipate? Deselect Answer Metabolic Acidosis Respiratory Acidosis Respiratory Alkalosis Metabolic Alkalosis None 6. The nurse recognizes that the condition that the client is most likely experiencing is: Please select your answer Guillain Barre Syndrome Multiple Sclerosis Myasthenia Gravis Cerebral Vascular Accident 7. as evidenced by (select 2 choices) The ascending nature of the weakness History of a viral illness Generalized weakness 8. The ABG results are as follows: pH 7.29, PCO2 58. pO2 78 , HCO3 24. After reviewing the ABG results, what is the priority action? Please select your answer Prepare for intubation Call for chest x ray Continue to monitor closely Follow-up on other lab results 9. The nurse recognizes that the client's respiratory status reflects that the client has Please select your answer Increased tidal volume due to weak respiratory muscles Decreased tidal volume due to weak respiratory muscles Fluid-filled alveoli Airway swelling 1 out of 9 Time's up
