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HESI_MED_SURG_EXAM.DOCX
- Exam (elaborations) • 44 pages • 2023
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HESI_MED_SURG_EXAM.DOCX 
1. 
Which assessment is most important for the nurse to perform on a client who is 
hospitalized for Guillain-Barre syndrome that is rapidly progressing? 
• Respiratory effort. 
• Unsteady gait. 
• Intensity of pain. 
• Ability to eat. 
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet 
and progresses upwards. As the condition progresses, the nurse must ensure that the 
client is able to breathe effectively. 
Heuther, Understa...
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