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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
A patient is hospitalized with Guillain-Barré syndrome and the nursing diagnosis Spontaneous Ventilation, Impaired has been identified. In planning care for this patient, the nurse will prioritize the following interventions. Rank the interventions, with the first being the most critical and the last the least critical.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. careful airway suctioning to prevent infection
Choice 2. monitor arterial blood gases to identify changes
Choice 3. maintain hydration and caloric intake
Choice 4. patient education regarding residual problems
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1,2,3,4 -- Respiratory failure and infection are serious complications for the patient hospitalized with Guillain-Barré syndrome. Remember ABCs patent airway is the first concern, followed by close assessment of the arterial blood gases. Nutrition would come next, and although it is important to educate the patient during all cares of his or her hospitalization, this is not a priority intervention compared to the others.
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