HESI Case Studies--Medical/Surgical-Guillain Barre Syndrome Exam 1 Solved 100% Correct!!

1. Which question should the nurse ask Amid to support the diagnosis of Guillain-Barre syndrome? - Have you had any type of cold or stomach flu in the last month? 2. Which assessment intervention will the nurse implement specifically for the diagnosis or GuillainBarre syndrome? - Assess deep tendon reflexes 3. What intervention will the nurse implement prior to this procedure? - Obtain informed consent 4. Which intervention should the nurse implement post-procedure? - Increase Amid's fluid intake 5. Which action indicates the nurse understands Muslim food and beverage preferences? - Notify the dietary department that Amid cannot eat any pork. 6. Which statement by Amid reflects the Muslim faith? - I must be able to pray 5 times a day 7. What action should the nurse implement? - Notify the healthcare provider immediately to clarify the prescription 8. How should the nurse respond? - "He has muscle weakness that is traveling up his body and may get worse." 9. Which nursing diagnosis will take priority for Amid as the syndrome progresses? - Ineffective breathing pattern related to progressive muscle weakness 10. Which long-term goal is written for this nursing diagnosis? - The client will have minimal muscle atrophy11. Which intervention should the Intensive Care Department nurse implement first? - Assess the respiratory status and pulse oximeter reading 12. Which intervention addressing the mechanical ventilator should be included in the nursing care plan? - Alternate the position of the endotracheal (ET) tube in the mouth daily.