A sixteen-year-old patient with ascending paralysis was intubated and is receiving mechanical ventilation. The nurse should include what plan of care to help the patient cope with his illness?
  1. Provide positive feedback and encourage active range-of-motion
  2. Give full control to the patient over care decisions
  3. Provide information, encourage relaxation, and give positive feedback
  4. Provide intravenous sedatives and reduce distractions
Explanation
Answer - C - The nurse should provide information, encourage relaxation, and give positive feedback in the plan of care to help the patient cope with his illness. The patient with Guillain-Barré syndrome experiences fear and anxiety from the ascending paralysis and sudden onset of the disorder. The nurse can alleviate these fears by providing accurate information about the patient’s condition, giving expert care and positive feedback to the patient, and encouraging relaxation and distraction. The family can become involved with selected care activities and provide diversion for the patient as well.
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