Difficulty: Medium
Average Score: 81%
Simulated
Which of the following assessments would be most important for the nurse to make initially in a school-age child being seen in the clinic who has a sore throat, muscle tenderness, arms feeling weak, and generally is not feeling well?
Correct answer
A
Rationale
Difficulty swallowing indicates potential cranial nerve involvement, a critical early sign in Guillain-Barr├â┬® syndrome, requiring immediate attention.