The nurse is caring for a client who has onset Guillain-Barré syndrome. During this phase of the client's illness, which of the following parameters is the most important for the nurse to assess?
A)Monitor the cardiac rhythm.
B)Determine level of consciousness.
C)Check strength of the extremities.
D)Observe respiratory rate and effort.

Question

Quizplus · Accepted Answer

The most serious complication of Guillain-Barré syndrome is respiratory failure, and the nurse should monitor respiratory function continuously. The other assessments also will be included in nursing care, but they are not as important as respiratory assessment.

The Nurse Is Caring for a Client Who Has Onset