Which of the nursing diagnoses and interventions has the highest priority while treating a patient with GBS?
a. Imbalanced nutrition: less than body requirements related to lack of exogenous nutrients or increased metabolic demand
b. Acute pain related to transmission and perception of cutaneous, visceral, muscular, or ischemic impulses
c. Risk for aspiration
d. Ineffective breathing pattern related to musculoskeletal fatigue or neuromuscular impairment
D
The most common cause of death of patients with GBS is respiratory arrest; thus, the highest nursing priority for a patient with Guillain-Barrà © syndrome is directed toward providing ventilatory support and maintaining surveillance for complications. Facilitating nutritional support, providing comfort and emotional support, and educating the patient and family are important but rank lower than issues with the respiratory system.
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To evaluate cardiac size, the patient will have which of the following diagnostic tests performed?
A) 12-lead ECG B) Single-averaged electrocardiogram C) Chest radiography D) Phonocardiography
Client education for a client who has hypertension (HTN) would include avoiding which of the following foods?
a. cold cuts c. yogurt and milk b. bananas d. oatmeal
If an individual says they have a desire for dessert after they have eaten a meal they are describing their
a. thirst. b. satiety. c. hunger. d. appetite.
The nurse is aware that celiac disease is caused by the inability to digest __________
Fill in the blank(s) with correct word