ExamTopics Logo
Mail Us[email protected]
Menu
Test-Prep Discussions
exam questions

Exam NCLEX-RN All Questions

View all questions & answers for the NCLEX-RN exam
Go to Exam

Exam NCLEX-RN topic 4 question 224 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 224
Topic #: 4
[All NCLEX-RN Questions]

A 32-year-old female client is being treated for Guillain- Barr syndrome. She complains of gradually increasing muscle weakness over the past several days. She has noticed an increased difficulty in ambulating and fell yesterday. When conducting a nursing assessment, which finding would indicate a need for immediate further evaluation?

  • A. Complaints of a headache
  • B. Loss of superficial and deep tendon reflexes
  • C. Complaints of shortness of breath
  • D. Facial paralysis
Show Suggested Answer Hide Answer
Suggested Answer: C 🗳️
(A) Headaches are not associated with Guillain-Barr syndrome. (B) Loss of superficial and deep tendon reflexes is expected with this diagnosis. (C) Complaints of shortness of breath must be further evaluated. Forty percent of all clients have some detectable respiratory weakness and should be prepared for a possible tracheostomy. Pneumonia is also a common complication of this syndrome. (D) Facial paralysis is expected and is not considered abnormal.
by [deleted] at March 10, 2025, 6:57 a.m.

Comments

Chosen Answer:
This is a voting comment (?). It is better to Upvote an existing comment if you don't have anything to add.
Switch to a voting comment New
Submit Cancel
Currently there are no comments in this discussion, be the first to comment!
Community vote distribution
A (35%)
C (25%)
B (20%)
Other
Most Voted
A voting comment increases the vote count for the chosen answer by one.

Upvoting a comment with a selected answer will also increase the vote count towards that answer by one. So if you see a comment that you already agree with, you can upvote it instead of posting a new comment.

SaveCancel