The nurse caring for a patient in ICU diagnosed with Guillain-Barré syndrome should prioritize monitoring for what potential complication?
A) Impaired skin integrity
B) Cognitive deficits
C) Hemorrhage
D) Autonomic dysfunction
Ans: D
Feedback:
Based on the assessment data, potential complications that may develop include respiratory failure and autonomic dysfunction. Skin breakdown, decreased cognition, and hemorrhage are not complications of Guillain-Barré syndrome.
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