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The Nurse Is Admitting a Client with a Possible Diagnosis

Question 25

Multiple Choice

The nurse is admitting a client with a possible diagnosis of Guillain-Barré syndrome.  When collecting data to develop a plan of care for the client, the nurse should give priority to which of the following items?


A) Orthostatic blood pressure changes
B) Presence or absence of knee reflexes
C) Pupil size and reaction to light
D) Rate and depth of respirations

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