NCLEX RN Practice Question # 473

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What is Guillain-Barre`S Syndrome ( NCLEX Review)


  • Guillain-Barre´ syndrome is an acute infectious neuronitis of the cranial and peripheral nerves.
  • The immune system overreacts to the infection and destroys the myelin sheath.
  • The syndrome usually is preceded by a mild upper respiratory infection or gastroenteritis.
  • The recovery is a slow process and can take years. The major concern in Guillain-Barre´ syndrome is difficulty breathing; monitor respiratory status closely.


  • Paresthesias
  • Pain and/or hypersensitivity such as with the weight of bed sheets or other items touching the body
  • Weakness of lower extremities
  • Gradual progressive weakness of the upper extremities and facial muscles
  • Possible progression to respiratory failure
  • Cardiac dysrhythmias
  • CSF that reveals an elevated protein level
  • Abnormal electroencephalogram


  • Care is directed toward the treatment of symptoms, including pain management.
  • Monitor respiratory status.
  • Provide respiratory treatments.
  • Prepare to initiate respiratory support.
  • Monitor cardiac status.
  • Assess for complications of immobility.
  • Provide the client and family with support.

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