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Chapter 23: Problem 141

A client is admitted with Guillain-Barré syndrome. The doctor performs a lumbar puncture. What would the nurse expect the CSF to reveal? A. Increased glucose and decreased protein B. Increased protein and normal cell count C. Increased red blood cells and elevated WBCs D. Normal protein with increased WBC count

Short Answer

Expert verified
Answer: The nurse should expect the CSF to reveal increased protein levels and a normal cell count in a client admitted with Guillain-Barré syndrome.

Step by step solution

01

Understand Guillain-Barré syndrome

Guillain-Barré syndrome is an autoimmune disorder in which the body's immune system attacks the peripheral nervous system. This condition affects both the axons and the myelin sheaths of nerves, leading to symptoms such as weakness, numbness, tingling, and paralysis. As a result, we can expect alterations in the composition of the cerebrospinal fluid that might be specific to Guillain-Barré syndrome patients.
02

Analyze option A

Option A states that the CSF will reveal increased glucose and decreased protein levels. However, Guillain-Barré syndrome does not typically affect glucose levels in the CSF, as this condition is primarily related to nerve inflammation. Additionally, rather than decreased, protein levels in the CSF of Guillain-Barré syndrome patients are known to be increased. Therefore, option A is not correct.
03

Analyze option B

Option B states that the CSF will reveal increased protein levels and a normal cell count. Guillain-Barré syndrome affects the nerve(axon and myelin sheath), and the damaged nerves release protein into the CSF. In Guillain-Barré syndrome patients, the proteins in the CSF increase without significant changes in the cell count, predominantly due to the absence of an infectious process. Thus, option B is correct.
04

Analyze option C

Option C states that the CSF will reveal increased red blood cells and elevated white blood cells (WBCs) count. However, Guillain-Barré syndrome is not associated with increased red blood cells in the CSF. Also, WBCs may slightly increase, but not significantly. Therefore, option C is not correct.
05

Analyze option D

Option D states that the CSF will reveal normal protein levels with an increased WBC count. As discussed earlier, Guillain-Barré syndrome is associated with increased protein levels rather than normal levels. Moreover, WBCs count in the CSF may be slightly elevated but not significantly. Hence, option D is not correct.
06

Conclude the answer

In conclusion, based on the analysis of each option, the nurse should expect the CSF to reveal increased protein levels and a normal cell count in a client admitted with Guillain-Barré syndrome. Therefore, the correct answer is option B.

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