The nurse is caring for a hospitalized client with Guillain-Barré syndrome. Which of the following is a nursing consideration for this client?
A) Excellent nursing care is necessary to prevent permanent damage.
B) The nurse will start steroid therapy as the drug of choice.
C) The client will be on bed rest and muscles will be rested until the disease resolves.
D) Recovery is fast; nursing implications focus on physical rather than emotional aspects.
A
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The nurse must keep in mind that this client has an excellent chance of total or nearly total recovery. Therefore, excellent nursing care is necessary to prevent permanent damage. Steroid therapy is controversial because, although it may reduce symptoms, it may be deleterious to the client's recovery. Maintenance of muscle function is required to prevent atrophy and skeletal deformities. Nursing interventions, such as providing passive range of motion and working with physical therapy, are very important from the very beginning of the diagnosis. Recovery is usually slow, lasting weeks, months, or years, depending on the severity of symptoms and emotional support is essential.
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