Difficulty: Medium
Average Score: 66%
Full-length
An adult is admitted with Guillain-Barr├â┬® syndrome. On day 3 of hospitalization, the client's muscle weakness worsens, and he is no longer able to stand with support. He is also having difficulty swallowing and talking. The priority in the nursing care plan at this time is to prevent which problem?
Correct answer
A
Rationale
Difficulty swallowing increases aspiration risk, making aspiration pneumonia the priority. Other complications are secondary in this acute phase.