21. The nurse in the intensive care unit is caring for a client diagnosed with rapid progression of Guillain-Barre Syndrome.

21. The nurse in the intensive care unit is caring for a client diagnosed with rapid progression of Guillain-Barre Syndrome. Which interventions does the nurse anticipate performing? (Select all that apply) a. Prepare for mechanical ventilation. b. Plasma pheresis as prescribed – Therapeutic plasma exchange and IVIG are used to directly affect the peripheral nerve myelin antibody level. Both decrease circulating antibody levels and reduce the amount of time the patient is immobilized and dependent on mechanical ventilation. c. Pad the client’s side rails. d. Prepare the patient for an electroencephalogram (EEG) e. Assess for signs of Autonomic Dysreflexia – anyone who is immobilized and on mechanical ventilation needs to be monitored for AD