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Asked by AdmiralFieldSeal28

Mr. George, a 45-year-old male, has been diagnosed with Guillain-Barré syndrome, and is in the intensive unit as paralysis of the lower limbs continue to progress upwards to his chest area. Currently, Mr. George is using a simple facemask to ensure adequate oxygenation.
Question 1
What actions should the nurse take to ensure patient safety, comfort, and adequate oxygenation?

Question 2
At 0100, the nurse notes Mr. George is resting quietly with his eyes closed without difficulty breathing. However, the nurse also notices that Mr. George’s respirations are 8 per minute, a change from the assessment at 1230. What nursing actions should be taken to assist Mr. George’s respiratory status?

Question 3
As a result of the paralysis involving Mr. George’s lungs, Mr. George has a tracheostomy and is ventilator-dependent until the paralysis resolves. The nurse prepares to assess Mr. George’s tracheostomy. What should the nurse include in the assessment of Mr. George’s tracheostomy?
 

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